Active NPI
Jennifer Ann Mueller
- Social Worker
- Chaska, MN
National Provider Identifier
1184758740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LICSW 09426
- Practice address
- 401 East Fourth Street
Chaska, MN 55318 - Phone
- (952) 368-8815
- Fax
- (952) 368-8858
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LICSW 09426 | MN | Primary |
Addresses
Primary practice location
401 East Fourth Street
Chaska, MN 55318
Mailing address
600 East Fourth Street
Chaska, MN 55318
Phone (952) 361-1640
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 |
|---|---|---|---|
| LICSW 09426 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carver County | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carver County Public Health
- Public Health or Welfare Agency
- Chaska, MN
- NPI 1003020165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184758740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 EAST FOURTH STREET",
"city": "CHASKA",
"state": "MN",
"postal_code": "55318",
"telephone_number": "952-361-1640",
"fax_number": "952-361-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 EAST FOURTH STREET",
"city": "CHASKA",
"state": "MN",
"postal_code": "55318",
"telephone_number": "952-368-8815",
"fax_number": "952-368-8858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "JENNIFER",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "LICSW 09426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chaska, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.