Jennifer Aeshliman, LICSW
Individual provider Active NPI Clinical Social Worker · Coon Rapids, MN
NPI 1154464477 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1154464477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 15271 (MN)
- Practice address
- 8990 Springbrook Dr NW
Suite 220
Coon Rapids, MN 55433-5850 - Phone
- (763) 780-4440
- Fax
- (763) 780-9219
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15271 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Therapy Center, Inc. | Past | Accepting new patients | |
| Alternative Counseling Clinic | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15271 | MN | Yes |
Addresses
Primary practice location
8990 Springbrook Dr NW
Suite 220
Coon Rapids, MN 55433-5850
Mailing address
8990 Springbrook Dr NW
Suite 220
Coon Rapids, MN 55433-5850
Phone (763) 780-4440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610K9AE | Other | MN | BLUE CROSS OF MINNESOTA |
Other providers in Coon Rapids, MN
- Moyoade Adebiyi
- Oladiran Aisha Adeniji
- Naeem Ahmed Adhami
- Najma Adur
- Aegis Group Practice LLC
- Jessie Afari
- Affirmative Mande Health Services
- Affordable Dentures & Implants - Coon Rapids, P.C.
- Ramon Aguirre
- Obinna E. Agujiobi
All providers in Coon Rapids, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.