Active NPI
Justin James Dempsey, LICSW, LADC
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1013751668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29183
- Practice address
- 1857 Arlington Ave E
Saint Paul, MN 55119-4216 - Phone
- (802) 272-6525
- NPI assigned
- Jun 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305872 | MN | |
| Clinical Social Worker | 1041C0700X | 29183 | MN | Primary |
Addresses
Primary practice location
1857 Arlington Ave E
Saint Paul, MN 55119-4216
Mailing address
1857 Arlington Ave E
Saint Paul, MN 55119-4216
Phone (802) 272-6525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305872 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 29183 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1013751668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1857 ARLINGTON AVE E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551194216",
"telephone_number": "802-272-6525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1857 ARLINGTON AVE E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551194216",
"telephone_number": "802-272-6525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMPSEY",
"first_name": "JUSTIN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LICSW, LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-19",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "305872",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "29183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.