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EMBERLIGHT THERAPY LLC
NPI 1538038468
Social Worker - Clinical in Mendota Heights, MN

Active since October 30, 2025
2575 HERITAGE DR, MENDOTA HEIGHTS, MN 55120(612) 608-9068 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emberlight Therapy Llc NPPES

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

EMBERLIGHT THERAPY LLC (NPI 1538038468) is a healthcare organization registered as a clinical in Mendota Heights, Minnesota and active in the NPI registry since October 2025. The organization lists Nicole Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1538038468
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEMBERLIGHT THERAPY LLC
Location Address2575 HERITAGE DRMendota Heights, MN 55120-1737
Mailing Address2575 Heritage DrMendota Heights, MN 55120-1737 · (612) 608-9068
Phone(612) 608-9068
Organization SubpartNo
Authorized OfficialNicole DavisOwner · (612) 608-9068
Enumeration DateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1538038468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
2575 HERITAGE DR, Mendota Heights, MN 55120
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Emberlight Therapy LLC's NPI number?

The NPI number for Emberlight Therapy LLC is 1538038468. It was assigned to this organization in the NPPES registry on October 30, 2025.

Where is Emberlight Therapy LLC located?

Emberlight Therapy LLC is located at 2575 Heritage Dr, Mendota Heights, MN 55120. The listed phone number is (612) 608-9068.

What is Emberlight Therapy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Emberlight Therapy LLC was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.