SAMUEL DOUGLAS ST MARIE
NPI 1619597192
Social Worker - Clinical in Minneapolis, MN

Active since April 24, 2020
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 423-4560 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Douglas St Marie NPPES

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

SAMUEL DOUGLAS ST MARIE (NPI 1619597192) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (21170) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1619597192
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSAMUEL DOUGLAS ST MARIE
Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518
Mailing Address3271 Valley Ridge DrEagan, MN 55121-1751 · (612) 423-4560
Sole ProprietorYes
Enumeration DateApril 24, 2020
NPPES CertifiedApril 24, 2020
NPI 1619597192 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 · 21170
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.
2525 CHICAGO AVE, Minneapolis, MN 55404

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.

Social Worker (Clinical)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Pediatrics
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Practitioner (Neonatal)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Pediatrics (Pediatric Infectious Diseases)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Practitioner (Family)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Practitioner (Pediatrics, Critical Care)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Pediatrics
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Anesthetist, Certified Registered
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404

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 Samuel St Marie's NPI number?

The NPI number for Samuel St Marie is 1619597192. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Samuel St Marie located?

Samuel St Marie practices at 2525 Chicago Ave, Minneapolis, MN 55404. The listed phone number is (612) 423-4560.

What is Samuel St Marie'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 Samuel St Marie was last updated on April 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.