Individual provider Active NPI

Jody Kay Dunlap, LICSW

  • Clinical Social Worker
  • Stillwater, MN
National Provider Identifier
1073593612
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8183 Issued in MN
Practice address
1875 Northwestern Ave S
Stillwater, MN 55082-7534
Phone
(651) 439-4840
Fax
(651) 439-4894
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 8183 MN Primary

Addresses

Primary practice location

1875 Northwestern Ave S
Stillwater, MN 55082-7534

Mailing address

1875 Northwestern Ave S
Stillwater, MN 55082-7534
Phone (651) 439-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220823003297 HI Practitioner - Clinical Social Worker 1557394897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pau Hana Counseling, LLCGroup PAC ID 6406263342, 5 clinicians

Practice addresses (Care Compare)

224 Kamehameha Ave
Suite 201
Hilo, HI 96720-2860
Phone (808) 825-4212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8183MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pau Hana Counseling, LLC CurrentSince Apr 16, 2022 Accepting new patients
Choices Psychotherapy, LTD. PastSince Jun 1, 2021 Accepting new patients

Locations

224 Kamehameha Ave
Ste 201
Hilo, HI 96720
Phone (808) 825-4212

Organizations & group practices 2

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073593612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 NORTHWESTERN AVE S",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827534",
            "telephone_number": "651-439-4840",
            "fax_number": "651-439-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 NORTHWESTERN AVE S",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827534",
            "telephone_number": "651-439-4840",
            "fax_number": "651-439-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "JODY",
        "middle_name": "KAY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "8183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

Verify at the official NPI Registry.