Jacob Christenson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26511 Issued in MN

Practice address

101 4TH St SE
Rochester, MN 55904-3761

Phone

(507) 328-6712

NPI assigned

Apr 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Olmsted County

  • Addiction (Substance Use Disorder) Counselor
  • Rochester, MN
  • NPI 1912113499
  NPD (past)

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1053940452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 4TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559043761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 4TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559043761",
            "telephone_number": "507-328-6712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Campus Dr SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559044845",
            "country_code": "US",
            "telephone_number": "507-328-6712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSON",
        "first_name": "JACOB",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christenson.jake@co.olmsted.mn.us",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 4th St SE",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559043761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madeline Marie Christensen, DNP, APRN, CNP
• Brita Christenson, MS, LCGC
• Emily Christenson, LICSW
• Gerald Arthur Christenson, R.PH.
• Hannah Rose Christenson, DPT
• Lisa Hwa Christenson, NP
• Rachel Vo Christenson, D.O.
• Bridget N Christian, OTR/L
• Camille Marie Christian, DNP
• Emily Allison Christian

• Clinical Social Worker in Rochester, MN
• Providers in Rochester, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.