Organization · NPI-2
Meadowlark Services LLC
Case Management · Maple Grove, MN
NPI number1750248548
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1750248548
- Entity type
- Organization (NPI-2)
- Legal business name
- Meadowlark Services LLC
- Organization subpart
- No
- Enumeration date
- Jan 5, 2026
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
17039 72nd Ave NMaple Grove, MN 55311-4564
Phone 507-469-2084
Mailing address
17039 72nd Ave NMaple Grove, MN 55311-4564
Phone 507-469-2084
Authorized official
Michelle Sanko
Clinical Social Worker
5074692084
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