MS. MICHELLE AUSTIN (NPI# 1114391513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114391513 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE AUSTIN |
| Credential | LICSW |
| Practice Address |
2104 Park Ave Minneapolis MN 55404-6607 |
| Mailing Address |
6932 Innsdale Ave S Cottage Grove MN 55016-1248 |
| Practice Telephone | 9526490512 |
| Mailing Telephone | 6513578872 |
| Mailing Fax Number | 6518882902 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
17800 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6932 Innsdale Ave S, Cottage Grove, MN 550161248 | 6513578872 | 6518882902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936496 | Michelle Leigh Austin | Pharmacist | 1025 Highway 72 Byp, Fredericktown, MO 63645-7326 | 2019-11-07 |
| 1295065829 | Michelle Marie Austin | Speech-Language Pathologist | 12 Spring Dr, Johnston, RI 02919-3026 | 2010-01-04 |
| 1174794937 | Michelle A Austin | Occupational Therapist | 1005 E. Elizabeth St, Fort Collins, CO 80524 | 2008-03-19 |
| 1588702955 | Michelle Marie Austin | Adult Companion | 4419 Ne Mallory Ave, Portland, OR 97211-3328 | 2007-02-01 |
| 1275173817 | Michelle Mullins Austin | Behavior Technician | 1215 Hightower Trl, Atlanta, GA 30350-6244 | 2020-01-12 |
| 1093359432 | Michelle L Austin | Technician | 320 Progressive Blvd, Houma, LA 70360-4069 | 2019-10-29 |
| 1487021598 | Michelle A Austin | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2015-08-24 |
| 1255598074 | Michelle N Austin | Massage Therapist | 211 West Hill Street, Monroe, WA 98272 | 2008-05-20 |
| 1881874907 | Michelle Marie Austin | Marriage & Family Therapist | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2007-11-06 |
| 1457556664 | Michelle Denise Austin | Case Manager/Care Coordinator | 2530 S Commerce, Ardmore, OK 73401 | 2007-06-18 |
| Street Address |
2104 PARK AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-6607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225082233 | First Choice Home Care Inc | Home Health | 2104 Park Ave, Minneapolis, MN 55404-6607 | 2006-05-22 |
| 1609489517 | River Crossings Counseling and Consulting LLC | Community/Behavioral Health | 2104 Park Ave, Minneapolis, MN 55404-6607 | 2020-08-28 |
| 1649804717 | Bravo Health Service, Inc | Clinic/Center | 2104 Park Ave, Minneapolis, MN 55404-6607 | 2020-02-27 |
| 1437789716 | Lifetrack Wellness Inc | Early Intervention Provider Agency | 2104 Park Ave, Minneapolis, MN 55404-6607 | 2020-01-25 |
| 1326681511 | Eagle Group Home | Home Health | 2104 Park Ave, Minneapolis, MN 55404-6607 | 2019-10-21 |
| 1679114144 | Priomh Healing Services Inc | Clinic/Center | 2104 Park Ave, Minneapolis, MN 55404-6607 | 2019-10-04 |
| 1992043145 | Pt Works, LLC | Clinic/Center | 2104 Park Ave, Minneapolis, MN 55404-2847 | 2013-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597784 | Nadia Sullivan | Social Worker | 250 S 4th St # 510, Minneapolis, MN 55415-1321 | 2020-10-29 |
| 1972102580 | Grace Christine Haugen | Social Worker | 3408 18th Ave S, Minneapolis, MN 55407-2779 | 2020-10-23 |
| 1629677422 | Tracy Flanagan Lewis | Social Worker | 410 E 48th St # 5, Minneapolis, MN 55419-5651 | 2020-10-22 |
| 1093312985 | Concord Psychotherapy Inc. | Social Worker | 4749 Chicago Ave Ste 1b, Minneapolis, MN 55407-4181 | 2020-10-05 |
| 1376167056 | Jennifer Hooyman | Social Worker | 3126 Cleveland St Ne, Minneapolis, MN 55418-2330 | 2020-05-29 |
| 1649893777 | Sarah Slathar | Social Worker | 2511 Grand St Ne # 2, Minneapolis, MN 55418-3318 | 2020-05-23 |
| 1811510332 | Madison Keel Peton | Social Worker | 825 Nicollet Mall Ste 455, Minneapolis, MN 55402-2606 | 2020-05-19 |
| 1538789474 | Mackenzie Landbloom | Social Worker | 825 S 8th St Ste 400, Minneapolis, MN 55404-1216 | 2020-04-21 |
| 1568090462 | Paul Samuel Schuster | Social Worker | 3249 Hennepin Ave Ste 258, Minneapolis, MN 55408-3993 | 2020-03-28 |
| 1053947077 | Natalie Jean Taber | Social Worker | 1645 Hennepin Ave Ste 221, Minneapolis, MN 55403-1701 | 2020-03-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on MS. MICHELLE AUSTIN.
| 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.