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Edify Youth
NPI 1477895985 · Clinical Social Worker · Crystal, MN
Provider details
- NPI number
- 1477895985
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Michele Bauer, Administrator(763) 567-3136
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5108 Lakeside Ave N
Crystal, MN 55429-3734
Phone: (612) 306-4575
Fax: (763) 271-2707
Street-level locationGet directions
Mailing address
5108 Lakeside Ave N
Crystal, MN 55429-3734
Registry dates
- Enumerated
- 2013-03-22
- Last updated
- 2013-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.