Individual provider Active NPI

Jeana Bisek, LICSW

  • Clinical Social Worker
  • Minnetonka, MN
National Provider Identifier
1013649946
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28498 Issued in MN
Practice address
14525 Highway 7 Ste 250
Minnetonka, MN 55345-3748
Phone
(612) 709-8372
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 28498 MN Primary

Addresses

Primary practice location

14525 Highway 7 Ste 250
Minnetonka, MN 55345-3748

Mailing address

9920 Briar Rd Apt 304
Bloomington, MN 55437-3915
Phone (952) 994-3153

Other practice location 1

2730 S Val Vista Dr Ste 115
Gilbert, AZ 85295-1676
Phone (480) 656-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221025000069 MN Practitioner - Clinical Social Worker 9830565951
I20250826005042 AZ Practitioner - Clinical Social Worker 9830565951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Tru Healthcare IncGroup PAC ID 0941324958, 4 clinicians

Practice addresses (Care Compare)

335 E Germann Rd
Suite 110
Gilbert, AZ 85297-2920
Phone (480) 656-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28498MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Healthcare, Inc. CurrentSince Jul 5, 2022 Accepting new patients

Locations

335 E Germann Rd
Ste 110
Gilbert, AZ 85297
Phone (480) 656-1500

2730 S Val Vista Dr
Ste 115
Gilbert, AZ 85295
Phone (480) 656-1500

14525 Highway 7
Ste 250
Minnetonka, MN 55345
Phone (612) 274-7290

2586 7th Ave E
Saint Paul, MN 55109

4100 Lexington Ave N
Ste 150
Shoreview, MN 55126
Phone (218) 360-0283

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1013649946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 BRIAR RD APT 304",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373915",
            "telephone_number": "952-994-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14525 HIGHWAY 7 STE 250",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453748",
            "telephone_number": "612-709-8372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 S Val Vista Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852951676",
            "country_code": "US",
            "telephone_number": "480-656-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISEK",
        "first_name": "JEANA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.