ANDREA BREKKE (NPI# 1528417490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528417490 |
| Entity Type | Individual |
| Full Name | ANDREA BREKKE |
| Practice Address |
2165 White Bear Ave N Maplewood MN 55109 |
| Mailing Address |
8170 33rd Ave S # Ms 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6515239800 |
| Mailing Telephone | 6515239800 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
20866 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 |
| Street Address |
2165 WHITE BEAR AVE N |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497714455 | Byron J Marquez | Family Medicine | 2165 White Bear Ave N, Maplewood, MN 55109 | 2006-03-20 |
| 1205311156 | Jessica Anne Lemker | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2018-09-26 |
| 1962986927 | Group Health Plan, Inc | Clinic/Center | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2018-09-17 |
| 1023557352 | Jennifer Novak | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2017-02-20 |
| 1659822146 | Group Health Plan, Inc | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2016-10-19 |
| 1346797404 | Sheri Michelle Madison | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2016-09-07 |
| 1447628086 | Gina Shults | Physician Assistant | 2165 White Bear Ave N, Maplewood, MN 55109 | 2015-09-14 |
| 1619377835 | Ashley Elizabeth Diamond | Nurse Practitioner | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2014-08-25 |
| 1164836821 | Elizabeth Placzek | Pediatrics | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2014-06-19 |
| 1558793521 | Erik Anders Engelbrektson | Dentist | 2165 White Bear Ave N, Maplewood, MN 55109 | 2013-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| 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 |
|---|---|---|---|---|
| 1073112546 | Thomas James Obrzut | Social Worker | 31 Rynda Rd, Maplewood, NJ 07040-3619 | 2020-10-25 |
| 1457984742 | Pierre Arthur Oscar | Social Worker | 2130 Millburn Ave Ste C3, Maplewood, NJ 07040-3747 | 2020-02-15 |
| 1811548852 | Emma Alexander | Social Worker | 3 Saint Lawrence Ave, Maplewood, NJ 07040-1117 | 2019-09-20 |
| 1467004903 | Ciara Legato | Social Worker | 1961 County Road C E, Maplewood, MN 55109-1737 | 2019-07-15 |
| 1033630967 | Emily Glover | Social Worker | 2785 White Bear Ave N Ste 403, Maplewood, MN 55109-1327 | 2017-06-30 |
| 1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
| 1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
| 1427466838 | Jeni Tyson Lcsw LLC | Social Worker | 2115 Millburn Ave Ste 105, Maplewood, NJ 07040-3724 | 2014-07-29 |
| 1366871006 | Cameron Stewart | Social Worker | 20 Oakview Ave, Maplewood, NJ 07040-2214 | 2013-11-04 |
| 1003258799 | New Jersey Association for Psychotherapy | Social Worker | 2115 Millburn Avenue, Suite 100-4, Maplewood, NJ 07040 | 2013-07-23 |
| Find all providers in MAPLEWOOD | ||||
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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.