Dr Ken Ujifusa, PSYD - Social Worker in St Louis Park, MN

Dr Ken Ujifusa, PSYD is a Social Worker physician based in St Louis Park, Minnesota. Dr Ken Ujifusa is licensed to practice in Minnesota (license number 7187) and his current practice location is 1665 Utica Ave S Ste 100, St Louis Park, Minnesota. He can be reached at his office (for appointments etc.) via phone at (952) 541-2500.

NPI number for Dr Ken Ujifusa is 1528265576 and his current mailing address is 8170 33rd Ave S, Ms 21110q, Bloomington, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528265576.

Contact Information

Dr Ken Ujifusa, PSYD
1665 Utica Ave S Ste 100,
St Louis Park, MN 55416-3476
(952) 541-2500
(952) 541-2539



Physician's Profile

Full NameDr Ken Ujifusa
GenderMale
SpecialitySocial Worker
Location1665 Utica Ave S Ste 100, St Louis Park, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528265576
  • Provider Enumeration Date: 07/02/2007
  • Last Update Date: 07/29/2021

Medical Identifiers

Medical identifiers for Dr Ken Ujifusa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528265576NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine 166404 (Minnesota)Secondary
1041C0700XSocial Worker - Clinical 07187 (Minnesota)Secondary
104100000XSocial Worker 7187 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ken Ujifusa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ken Ujifusa, PSYD
8170 33rd Ave S, Ms 21110q,
Bloomington, MN 55425-4516

Ph: () -
Dr Ken Ujifusa, PSYD
1665 Utica Ave S Ste 100,
St Louis Park, MN 55416-3476

Ph: (952) 541-2500

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