NIKKI DONNELLA DIVIRGILIO (NPI# 1053824391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053824391 |
| Entity Type | Individual |
| Full Name | NIKKI DONNELLA DIVIRGILIO |
| Credential | MSW, LGSW |
| Practice Address |
445 Broadway Ave Ste A St Paul Park MN 55071-1554 |
| Mailing Address |
1236 1st St St Paul Park MN 55071-1735 |
| Practice Telephone | 1224612242 |
| Mailing Telephone | 6122058834 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3548 Bryant Ave S, Minneapolis, MN 554084119 | 6128228227 | 6128254204 |
| Street Address |
445 BROADWAY AVE STE A |
| City | ST PAUL PARK |
| State | MN |
| Zip Code | 55071-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851635973 | Jill Ellingson | Marriage & Family Therapist | 445 Broadway Ave Ste A, St Paul Park, MN 55071 | 2012-11-15 |
| 1902403942 | Kaitlyn Pijanowski | Counselor | 445 Broadway Ave Ste A, St Paul Park, MN 55071-1554 | 2020-10-02 |
| 1457724205 | Brave Soul Counseling Services | Marriage & Family Therapist | 445 Broadway Ave Ste A, St Paul Park, MN 55071-1554 | 2015-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750615779 | Alternative Home Care Solutions LLC | Home Health | 1648 Dixon Dr, St Paul Park, MN 55071-1237 | 2009-09-23 |
| 1588108914 | Rebecca Jean Meyer | Counselor | 1513 10th Ave, Saint Paul Park, MN 55071-1302 | 2016-12-04 |
| 1356993125 | Jennifer Sue Johnson | Counselor | 1513 10th Ave, St Paul Park, MN 55071-1302 | 2019-07-11 |
| 1881718971 | West Side Community Health Services, Inc. | Clinic/Center | 980 9th Ave S, Saint Paul Park, MN 55071-1436 | 2007-03-16 |
| 1518422757 | Gentle Comfort Home Care LLC | In Home Supportive Care | 1115 Summit Ave, Saint Paul Park, MN 55071-1443 | 2019-02-01 |
| 1720402621 | Natural Science Academy | Local Education Agency (LEA) | 920 Holley Ave Ste 3, St Paul Park, MN 55071-1558 | 2014-02-12 |
| 1811330103 | Gia Rendon | Physician Assistant | 301 Saint Paul Park Rd, St Paul Park, MN 55071-1583 | 2013-04-17 |
| 1548595465 | The Milton Home | Respite Care | 1305 6th St, St Paul Park, MN 55071-1640 | 2009-10-09 |
| 1013431352 | Blue Starr Home Care Inc | Home Health | 1124 1st St, Saint Paul Park, MN 55071-1703 | 2017-07-28 |
| 1477975357 | Noor Haji-munye | Registered Nurse | 1020 2nd St, Saint Paul Park, MN 55071-1706 | 2014-01-13 |
| Find all providers in zip 55071 | ||||
| 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 |
|---|---|---|---|---|
| 1699389957 | Michelle Christine Johnson | Social Worker | 8646 Eagle Creek Cir, Savage, MN 55378-1570 | 2020-09-03 |
| 1841804432 | Taylor Elise Cravey | Social Worker | 2277 Highway 36 W Ste 160, Roseville, MN 55113-3830 | 2020-09-02 |
| 1659981124 | Meighan Rose Middleton | Social Worker | 6111 Nicollet Ave, Minneapolis, MN 55419-2560 | 2020-08-08 |
| 1114535200 | Jestine Amanda Dennis | Social Worker | 5701 Kentucky Ave N Ste 100, Crystal, MN 55428-3370 | 2020-07-15 |
| 1902421662 | Radias Health-hss/hnp | Social Worker | 166 4th St E Ste 200, Saint Paul, MN 55101-1474 | 2020-06-09 |
| 1316568991 | Amie Summers | Social Worker | 12301 Whitewater Dr Ste 135, Minnetonka, MN 55343-4104 | 2020-05-05 |
| 1720608854 | Muna Abdi Khalif | Social Worker | 3055 Old Highway 8 # 348, St Anthony, MN 55418-2500 | 2020-04-18 |
| 1750913687 | Kaltun Abdikarani | Social Worker | 584 10th Ave Sw, New Brighton, MN 55112-7606 | 2020-02-08 |
| 1407487879 | Michelle Fitzpatrick | Social Worker | 7900 International Dr Ste 300, Bloomington, MN 55425-2562 | 2020-02-03 |
| 1750927042 | Collin William Stanhope | Social Worker | 2872 26th Ave S # Doord, Minneapolis, MN 55406-1529 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | ST PAUL PARK |
| Zip Code | 55071 |
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| 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.