BOONMEE PAKVISET EDWARDS (NPI# 1912554403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912554403 |
| Entity Type | Individual |
| Full Name | BOONMEE PAKVISET EDWARDS |
| Other Name | BOONMEE PAKVISET |
| Credential | LICSW |
| Practice Address |
4600 18th Ave Nw Rochester MN 55901-2116 |
| Practice Telephone | 5072872010 |
| Practice Fax Number | 5072877805 |
| Mailing Telephone | 5072872010 |
| Mailing Fax Number | 5072877805 |
| Enumeration Date | 2019-08-20 |
| 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 |
25675 | MN | Behavioral Health & Social Service Providers |
| Street Address |
4600 18TH AVE NW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275746083 | Family Service Rochester, Inc | Psychologist | 4600 18th Ave Nw, Rochester, MN 55901 | 2007-05-08 |
| 1295351617 | Hannah Busebee | Social Worker | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2020-06-22 |
| 1457984304 | Katrina Perry | Counselor | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2020-02-19 |
| 1235772476 | Jennifer Ann Ozcan | Counselor | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2019-10-21 |
| 1467093005 | Emma Marie Massman | Social Worker | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2019-10-04 |
| 1013558667 | Janet Mason | Social Worker | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2019-10-04 |
| 1285106146 | Marion Mae Sanchez | Counselor | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2018-12-17 |
| 1538642160 | Rachel Ann Maley | Social Worker | 4600 18th Ave Nw, Rochester, MN 55901 | 2018-09-10 |
| 1235673880 | Katrina Musech | Social Worker | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2016-12-15 |
| 1497052948 | Ashleigh Hinner Dowis | Counselor | 4600 18th Ave Nw, Rochester, MN 55901 | 2011-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| 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 |
|---|---|---|---|---|
| 1417562299 | Katelyn Connolly | Social Worker | 1017 33rd St Nw, Rochester, MN 55901-1484 | 2020-09-09 |
| 1427660711 | Annika Peterson | Social Worker | 2632 5th Ave Nw, Rochester, MN 55901-2363 | 2020-08-19 |
| 1649888116 | Michelle Solomou | Social Worker | 61 Evandale Rd, Rochester, NY 14618-3901 | 2020-07-21 |
| 1366067753 | Ashraf Khater | Social Worker | 513 University Park, Rochester, NY 14620-4434 | 2020-06-10 |
| 1770115560 | Diana Lerner | Social Worker | 1441 Clover St, Rochester, NY 14610-3313 | 2020-02-10 |
| 1922639111 | Kristina Maria Washington | Social Worker | 121 Stover Rd, Rochester, NY 14624-4451 | 2020-01-28 |
| 1689210072 | Vanessa Dannielle Peavy | Social Worker | The University of Rochester, 738 Library Rd., Rochester, NY 14627-1462 | 2019-11-21 |
| 1336799972 | Element Psychotherapy LLC | Social Worker | 333 1/2 S Main St Ste B-1, Rochester, MI 48307-2084 | 2019-09-16 |
| 1215586920 | Caswell Vincent Smith | Social Worker | 161 California Dr, Rochester, NY 14616-4209 | 2019-09-05 |
| 1568010163 | Antoinette Palka Gauthier | Social Worker | 115 Lomb Memorial Dr, Rochester, NY 14623-5608 | 2019-08-28 |
| Find all providers in ROCHESTER | ||||
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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.