MEDICARE: PLAYING WITH PURPOSE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1760333892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLAYING WITH PURPOSE PLLC

Provider Business Mailing Address
First Line	:	1685 LINCOLN AVE APT 2
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-1950
Country	:	US
Telephone Number	:	801-633-0228
Fax Number	:

Provider Business Practice Location Address
First Line	:	1685 LINCOLN AVE APT 2
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-1950
Country	:	US
Telephone Number	:	801-633-0228
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	LILY FERREIRA
Credential	:	LICSW
Telephone Number	:	801-633-0228

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “PLAYING WITH PURPOSE PLLC ” Practice Location

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