Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diverse Health and Social Services LLC

Organization Clinical Social Worker · NPI 1770322083

Diverse Health and Social Services LLC is a Clinical Social Worker in Champlin, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
10
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9216 White Oaks Trl
Champlin, MN 55316-2675
Phone: (651) 425-1614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatry Physician Taxonomy 2084P0800X
Case Management Agency Taxonomy 251B00000X
Nursing Care Agency Taxonomy 251J00000X
Clinic/Center Taxonomy 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Assisted Living Facility (Mental Illness) Taxonomy 3104A0625X
Adult Care Home Facility Taxonomy 311ZA0620X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1770322083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Xeng Pha — Co-Owner · (651) 425-1614
NPI enumeratedMay 24, 2024
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024
Mailing address9216 White Oaks Trl, Champlin, MN 55316-2675

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