Individual provider Active NPI

Jeanne Marie Forbes, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1164958666
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3330 Issued in MN
Practice address
2014 Fairmount Ave
Saint Paul, MN 55105-1535
Phone
(651) 308-4038
NPI assigned
May 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 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 3330 MN Primary

Addresses

Primary practice location

2014 Fairmount Ave
Saint Paul, MN 55105-1535

Mailing address

2014 Fairmount Ave
Saint Paul, MN 55105-1535
Phone (651) 308-4038

Other practice location 1

2550 University Ave W
Saint Paul, MN 55114-1052
Phone (651) 308-4038

Other names 1

  • Jeanne Maire Lessard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20181116002568 MN Practitioner - Clinical Social Worker 5294001343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Psych Recovery IncGroup PAC ID 3779633912, 22 clinicians

Practice addresses (Care Compare)

2550 University Ave W
Suite 229N
Saint Paul, MN 55114-1052
Phone (651) 645-3115

595 Selby Ave
Saint Paul, MN 55102-1730
Phone (651) 308-4038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanne M Forbes LLC Clinical CurrentSince Sep 15, 2025 Accepting new patients
Psych Recovery Inc Clinical CurrentSince Dec 16, 2022 Accepting new patients
Psychiatric Recovery PA PastSince Dec 16, 2022 Accepting new patients

Locations

2550 University Ave W
Ste 229N
Saint Paul, MN 55114
Phone (651) 645-3115

595 Selby Ave
Saint Paul, MN 55102
Phone (612) 234-7122

Organizations & group practices 3

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1164958666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 FAIRMOUNT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051535",
            "telephone_number": "651-308-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 FAIRMOUNT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051535",
            "telephone_number": "651-308-4038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 University Ave W",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141052",
            "country_code": "US",
            "telephone_number": "651-308-4038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORBES",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "3330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "LESSARD",
            "middle_name": "MAIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.