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MARY CARR SLADE LICSW
NPI 1104533520
Social Worker - Clinical in Minneapolis, MN

Active since November 04, 2022PECOS Enrolled
2120 PARK AVE, MINNEAPOLIS, MN 55404(651) 774-0011(651) 774-0606 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2023, Nov 4, 2022 (2 updates tracked since 2022).

About Mary Carr Slade Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY CARR SLADE LICSW (NPI 1104533520) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (22057) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104533520
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY CARR SLADECredential: LICSW
Location Address2120 PARK AVEMinneapolis, MN 55404-3378
Mailing Address3000 Ames Crossing Rd Ste 600Eagan, MN 55121-2519 · (651) 774-0011 · Fax (651) 774-0606
Phone(651) 774-0011
Fax(651) 774-0606
Sole ProprietorNo
Enumeration DateNovember 4, 2022
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1104533520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 22057
Definition
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.
2120 PARK AVE, Minneapolis, MN 55404
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Carr Slade Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARLY PORTO
Counselor (Professional)
2120 PARK AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 872-2000
BOBBI LOPEZ LICSW
Social Worker (Clinical)
2120 PARK AVE
MINNEAPOLIS, MN 55404
Hennepin County (651) 774-0011
JESSICA MAY HILL LICSW
Social Worker (Clinical)
2120 PARK AVE
MINNEAPOLIS, MN 55404
Hennepin County (651) 774-0011
DR. MARGUERITE VASSHTI BUTLER PH.D., L.P.
Psychologist (Clinical)
2120 PARK AVE
MINNEAPOLIS, MN 55404
Hennepin County (651) 774-0011
PEOPLE INCORPORATED
Community/Behavioral Health
2120 PARK AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 872-2000
DANIEL DAHLBERG
Registered Nurse
2120 PARK AVE
MINNEAPOLIS, MN 55404
Hennepin County (651) 363-2233
ANNMARIE KAY FLOREST LICSW
Social Worker (Clinical)
2120 PARK AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 872-2000
MR. GEBREMARIAM ALEM GEBREMICAEL
Social Worker
2120 PARK AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 872-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Slade's NPI number?

The NPI number for Mary Slade is 1104533520. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is Mary Slade located?

Mary Slade practices at 2120 Park Ave, Minneapolis, MN 55404. The listed phone number is (651) 774-0011.

What is Mary Slade's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mary Slade enrolled in Medicare?

Yes. Mary Slade is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Slade was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.