GEOFFREY THOMAS ABBOTT (NPI# 1952345639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952345639 |
| Entity Type | Individual |
| Full Name | GEOFFREY THOMAS ABBOTT |
| Credential | LICSW |
| Practice Address |
1020 W Broadway Ave Umphysicians Broadway Family Medicine Minneapolis MN 55411-2504 |
| Practice Telephone | 6123028200 |
| Practice Fax Number | 6123028275 |
| Mailing Telephone | 6123028200 |
| Mailing Fax Number | 6123028275 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 104100000X | Social Worker | 3977 | MN | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
3977 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE | 1019266 | 01 |
| MN | HEALTHPARTNERS | HP27477 | 01 |
| MN | ARAZID | 767983 | 01 |
| MN | UCARE | 100593 | 01 |
| MN | BCBS | 37B39AB | 01 |
| MN | MEDICA CHOICE AND PRIMARY | 62-55425 | 01 |
| Street Address |
1020 W BROADWAY AVE UMPHYSICIANS BROADWAY FAMILY MEDICINE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55411-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393672 | Jean Yeung Moon | Pharmacist | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2005-08-11 |
| 1114548666 | Valerie Jing Young | Student in an Organized Health Care Education/Training Program | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-05-06 |
| 1992325476 | John Hugh Granville Ward | Student in an Organized Health Care Education/Training Program | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-04-24 |
| 1891315636 | Emily Lund | Student in an Organized Health Care Education/Training Program | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-04-22 |
| 1295355378 | Tara Anderson | Student in an Organized Health Care Education/Training Program | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-04-20 |
| 1003436296 | Ian G Latham | Student in an Organized Health Care Education/Training Program | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-04-17 |
| 1326668500 | Catherine Pang | Student in an Organized Health Care Education/Training Program | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-04-17 |
| 1154941300 | Darien Kinne | Student in an Organized Health Care Education/Training Program | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-04-17 |
| 1720608003 | Christopher John Jennen | Student in an Organized Health Care Education/Training Program | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-04-16 |
| 1669091278 | Athena Brindle Cannon | Pharmacist | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101483 | Minnesota Mental Health Solutions | Social Worker | 1007 W Broadway Ave Ste 200, Minneapolis, MN 55411 | 2019-09-03 |
| 1154980233 | Access Group Home LLC | Home Health | 1122 Upton Ave N, Minneapolis, MN 55411 | 2019-06-11 |
| 1780036202 | Marcia Karen Powless | Registered Nurse | 2339 River Pointe Lane, Minneapolis, MN 55411 | 2016-07-08 |
| 1104287663 | Abdikarim Abdille | Contractor | 521 Lyn Park Cir N, Minneapolis, MN 55411 | 2016-03-11 |
| 1962801399 | Olu's Center | Clinic/Center | 1315 12th Ave N, Minneapolis, MN 55411 | 2014-08-21 |
| 1689086639 | Claudia Alejandra Patino Gonzalez | Student in an Organized Health Care Education/Training Program | 1020 West Broadway Avenue, Minneapolis, MN 55411 | 2014-05-27 |
| 1306283445 | Advanced Home Care | Home Health | 3000 Logan Ave N, Minneapolis, MN 55411 | 2013-05-30 |
| 1154766525 | Bassim Samadani Birkland | Student in an Organized Health Care Education/Training Program | Broadway Clinic, 1020 West Broadway, Minneapolis, MN 55411 | 2013-04-30 |
| 1720354004 | New Salem Metormorphosis Youth Program | Counselor | 2509 Bryant Ave North, Minneapolis, MN 55411 | 2012-03-30 |
| 1629387469 | Apose | Home Health | 2806 Girard Ave. North, Minneapolis, MN 55411 | 2010-09-28 |
| Find all providers in zip 55411 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981124 | Meighan Rose Middleton | Social Worker | 6111 Nicollet Ave, Minneapolis, MN 55419-2560 | 2020-08-08 |
| 1750927042 | Collin William Stanhope | Social Worker | 2872 26th Ave S # Doord, Minneapolis, MN 55406-1529 | 2019-11-21 |
| 1811541717 | Xay Yang | Social Worker | 1121 Jackson St Ne Ste 500, Minneapolis, MN 55413-1672 | 2019-07-29 |
| 1649838202 | James Henry Thomas Hepner | Social Worker | 3420 40th Ave S, Minneapolis, MN 55406-2843 | 2019-05-30 |
| 1831684943 | Angela Callais | Social Worker | 1624 Harmon Pl Ste 222c, Minneapolis, MN 55403-1903 | 2018-06-30 |
| 1619485026 | Frank Xavier Valencia IIi | Social Worker | 1 Veterans Dr Bldg 89, Minneapolis, MN 55417-2309 | 2018-01-19 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1811343866 | Andrew Morales | Social Worker | 4958 Morgan Ave N, Minneapolis, MN 55430-3751 | 2016-05-09 |
| 1699129056 | Ifrah Yusuf Mohamed | Social Worker | 1304 E Lake St, Suite 104, Minneapolis, MN 55407-1776 | 2016-04-21 |
| 1386028355 | Mollie Gabrys-lake | Social Worker | 1934 Hennepin Ave Ste 201, Minneapolis, MN 55403-4035 | 2015-07-19 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55411 |
Please comment or provide details below to improve the information on GEOFFREY THOMAS ABBOTT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.