MR. ZACHERY AVIR LECRONE (NPI# 1699199802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699199802 |
| Entity Type | Individual |
| Full Name | MR. ZACHERY AVIR LECRONE |
| Credential | MSW, LICSW |
| Practice Address |
2220 Riverside Ave Minneapolis MN 55454-1321 |
| Mailing Address |
Po Box 1309 Ms 21110q Minneapolis MN 55440-1309 |
| Practice Telephone | 6123415000 |
| Practice Fax Number | 6123711673 |
| Mailing Telephone | 6123415000 |
| Mailing Fax Number | 6123711673 |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
23442 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2324 University Ave W, Suite #120, Saint Paul, MN 551141843 | 6516444741 |
| Street Address |
2220 RIVERSIDE AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972197 | Sean Thayer | Podiatrist | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2005-06-20 |
| 1578187084 | Marcia Wahl | Registered Nurse | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2020-05-31 |
| 1619499746 | Kathleen Ann Otremba | Nurse Practitioner | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2017-07-11 |
| 1417490228 | Lucianna Baregi | Physical Therapist | 2220 Riverside Ave, 5th Floor, Minneapolis, MN 55454-1321 | 2016-11-28 |
| 1609256031 | Lydia Staples | Obstetrics & Gynecology | 2220 Riverside Ave, Mail Stop 31700a, Minneapolis, MN 55454 | 2015-06-01 |
| 1821476821 | Melissa Pavek | Family Medicine | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2015-05-11 |
| 1023402658 | Michelle Tracy Koenig | Nurse Practitioner | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2015-03-20 |
| 1699166082 | Linnea Marie Forsline | Physician Assistant | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2015-02-06 |
| 1386083111 | Laura Virginia Maus | Internal Medicine | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2013-06-14 |
| 1548607666 | Daniel Joseph Denucci | Dentist | 2220 Riverside Ave, Minneapolis, MN 55454 | 2013-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| 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 | 55454 |
Please comment or provide details below to improve the information on MR. ZACHERY AVIR LECRONE.
| 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.