SAWTOOTH MOUNTAIN CLINIC, INC. (NPI# 1306832894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306832894 |
| Entity Type | Organization |
| Organization Name | SAWTOOTH MOUNTAIN CLINIC, INC. |
| Practice Address |
513 5th Ave W Grand Marais MN 55604-3017 |
| Practice Telephone | 2183872330 |
| Practice Fax Number | 2183871278 |
| Mailing Telephone | 2183872330 |
| Mailing Fax Number | 2183871278 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | TERESA BRAGG (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2182640276 |
| Authorized Official Credential | RHIT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
22021 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 744708600 | 05 | |
| MN | 536253900 | 05 | |
| MN | 785090500 | 05 | |
| MN | DR. TERRILL-BCBS | 4F029TE | 01 |
| MN | 639097800 | 05 | |
| MN | 844318100 | 05 | |
| MN | 873397000 | 05 | |
| MN | GROUP CLAIMS-BCBS | BC69144CO | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
| Street Address |
513 5TH AVE W |
| City | GRAND MARAIS |
| State | MN |
| Zip Code | 55604-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952930992 | James Paul Zimmer | Social Worker | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2020-04-02 |
| 1750882791 | Margarette Farchmin | Pharmacist | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2018-02-26 |
| 1619346772 | Jane-marie Asay | Social Worker | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2015-09-18 |
| 1093195471 | Catherine Marie Hansen | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2015-06-01 |
| 1558623090 | Kurt Farchmin | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2012-06-11 |
| 1831381193 | Lisa Marie Zallar | Nurse Practitioner | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2007-08-10 |
| 1851483515 | Michael Sampson | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2006-09-29 |
| 1023056256 | Milan C Schmidt | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2006-06-02 |
| 1093784167 | Paul E Terrill | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2006-03-14 |
| 1184692675 | Jennifer L Delfs | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697038 | Grace Sliwinska-floe | Technician | 403 W 2nd Ave, Grand Marais, MN 55604 | 2019-09-05 |
| 1992271779 | Kristie Batz | Behavior Technician | Accend Services, 101 W Hwy 61, Grand Marais, MN 55604 | 2018-10-18 |
| 1083987143 | Jessi Elizabeth Nicholson | Acupuncturist | 101 W Hwy 61, Suite 130, Grand Marais, MN 55604 | 2012-02-20 |
| 1033429873 | Grand Marais Investors, LLC | Pharmacy | 425 W Highway 61, Grand Marais, MN 55604 | 2010-10-14 |
| 1679710289 | Gwen Lawler | Social Worker | 1807 West Highway 61, Grand Marais, MN 55604 | 2009-01-20 |
| 1487879243 | Alyssa Anne Hedstrom | Dentist | 303 E 3rd Street, Grand Marais, MN 55604 | 2007-04-16 |
| 1528121308 | North Shore Pharmacy Ltd | Pharmacy | 21 West Highway 61, Grand Marais, MN 55604 | 2006-12-19 |
| 1497831705 | Gunflint Trail Volunteer Fire Department | Ambulance | 112 S Gunflint Lk Rd, Grand Marais, MN 55604 | 2006-10-29 |
| 1518391010 | Grand Marais Family Dentistry | Dentist | 303 E 3rd St, Grand Marais, MN 55604 | 2013-09-03 |
| 1700026762 | Sawtooth Chiropractic PC | Chiropractor | 501 W 5th St, Grand Marais, MN 55604 | 2009-03-03 |
| Find all providers in zip 55604 | ||||
| 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 |
|---|---|---|---|---|
| 1952930992 | James Paul Zimmer | Social Worker | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2020-04-02 |
| 1619346772 | Jane-marie Asay | Social Worker | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2015-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255121 | Trizer Smith | Social Worker | 33 Wentworth Ave E Ste 280, West Saint Paul, MN 55118-3432 | 2020-11-06 |
| 1003417262 | Wellness Within Holistic Psychotherapy, Pa | Social Worker | 3960 Saari Rd, Hibbing, MN 55746-8280 | 2020-11-04 |
| 1376144808 | Brianna Heilman | Social Worker | 38431 Lincoln Trl, North Branch, MN 55056-5834 | 2020-11-02 |
| 1811597784 | Nadia Sullivan | Social Worker | 250 S 4th St # 510, Minneapolis, MN 55415-1321 | 2020-10-29 |
| 1922608322 | Kari Ann Steele | Social Worker | 419 6th Ave S, Sartell, MN 56377-2020 | 2020-10-27 |
| 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 |
| 1912506858 | Rachael Girard Ryan | Social Worker | 1440 Alaska Ave, Saint Paul, MN 55116-2338 | 2020-10-21 |
| 1003415969 | Kaitlin Burke | Social Worker | 4016 Willow Rd N, Brooklyn Park, MN 55443-1240 | 2020-10-21 |
| 1366041378 | Jeanette Jean Foizie | Social Worker | 11109 127th St Se, Clear Lake, MN 55319-9491 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | GRAND MARAIS |
| Zip Code | 55604 |
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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.