RANDY JUDD SWANSON (NPI# 1528155140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528155140 |
| Entity Type | Individual |
| Full Name | RANDY JUDD SWANSON |
| Credential | LICSW |
| Practice Address |
6040 Earle Brown Dr Brooklyn Center MN 55430-2514 |
| Practice Telephone | 9526665896 |
| Mailing Telephone | 7632137405 |
| Mailing Fax Number | 6128795272 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2017-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2758 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 950557100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477769917 | Randy Ferrer Swanson | Military Health Care Provider | Uss Charlotte (ssn 766), Fpo, AP 96662-2422 | 2007-05-14 |
| Street Address |
6040 EARLE BROWN DR |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366085086 | Antoinette Krynski | Counselor | 6040 Earle Brown Dr, Brooklyn Center, MN 55430-2514 | 2019-10-25 |
| 1164945200 | Contessa Johnson | Counselor | 6040 Earle Brown Dr, Brooklyn Center, MN 55430-2514 | 2017-07-20 |
| 1588186035 | Katherine Lea Starr | Marriage & Family Therapist | 6040 Earle Brown Dr, Brooklyn Center, MN 55430-2514 | 2017-07-15 |
| 1316471550 | Steps for Change | Community/Behavioral Health | 6040 Earle Brown Dr, Brooklyn Center, MN 55430-2514 | 2017-04-14 |
| 1508214123 | Emily Osiecki | Marriage & Family Therapist | 6040 Earle Brown Dr, 101, Brooklyn Center, MN 55430-2514 | 2016-05-25 |
| 1073928628 | You Therapy | Clinic/Center | 6040 Earle Brown Dr, , Suite 101, Brooklyn Center, MN 55430-2514 | 2014-06-23 |
| 1073851101 | African Assistance Program, Inc | Case Management | 6040 Earle Brown Dr, Suite 200, Brooklyn Center, MN 55430-2514 | 2013-01-24 |
| 1427172766 | Rem Hennepin, Inc. | Community/Behavioral Health | 6040 Earle Brown Dr, Suite 305, Brooklyn Center, MN 55430-2514 | 2007-03-19 |
| 1306912282 | Rem Hennepin, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6040 Earle Brown Dr, Suite 305, Brooklyn Center, MN 55430-2514 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| 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 |
|---|---|---|---|---|
| 1962036145 | Ebony Eromobor | Social Worker | 5424 Fremont Ave N, Brooklyn Center, MN 55430-3160 | 2020-02-26 |
| 1790349785 | Patricia Kathleen Thurmer | Social Worker | 5540 Brooklyn Blvd, Brooklyn Center, MN 55429-3069 | 2019-04-25 |
| 1154714319 | A Better Way L.l.c | Social Worker | 5701 Shingle Creek Pkwy Ste 285, Brooklyn Center, MN 55430-2385 | 2015-03-12 |
| 1073805263 | Skye Davis | Social Worker | 5701 Shingle Creek Pkwy Ste 550, Brooklyn Center, MN 55430-2475 | 2011-05-06 |
| 1356467856 | Kimberly Jean Oftedahl-brooks | Social Worker | 6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, MN 55430 | 2007-03-22 |
| 1487796280 | John P Mitchell | Social Worker | 3300 County Road 10, Suite 400, Brooklyn Center, MN 55429-3072 | 2007-02-12 |
| 1124625785 | Alison Valerie Kath | Social Worker | 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430-2322 | 2020-10-07 |
| 1043825946 | Caroline Lynn Soon Stark | Social Worker | 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430-2322 | 2020-09-09 |
| 1154947216 | Abby Ruby Sala | Social Worker | 5910 Shingle Creek Pkwy Ste 150, Brooklyn Center, MN 55430-2324 | 2020-06-24 |
| 1992329965 | Abbie Marie Vander Maten | Social Worker | 6120 Earle Brown Dr Ste 520, Brooklyn Center, MN 55430-4112 | 2020-06-04 |
| Find all providers in BROOKLYN CENTER | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
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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.