Individual provider Active NPI

Jamie Teresa Whiteman, MSW, LGSW

  • Social Worker
  • Baxter, MN
National Provider Identifier
1194105205
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
24075 Issued in MN
Practice address
7251 Excelsior Rd
Baxter, MN 56425-8477
Phone
(218) 454-0878
Fax
(218) 454-0879
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 24075 MN Primary

Addresses

Primary practice location

7251 Excelsior Rd
Baxter, MN 56425-8477

Mailing address

PO Box 2506
7251 Excelsior Rd
Baxter, MN 56425-2506
Phone (218) 454-0878

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
I20180614000050 MN Practitioner - Clinical Social Worker 5395090435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

315 E River Rd
Suite 205
Brainerd, MN 56401-3515
Phone (218) 270-9525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24075MNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Indigo Counseling PLC CurrentSince Feb 10, 2025 Accepting new patients
Adventures Within LLC CurrentSince Feb 8, 2025 Accepting new patients
Sheila a Hoemberg LLC Past Accepting new patients

Locations

624 NW 5th St
Brainerd, MN 56401
Phone (218) 232-3089

315 E River Rd
Ste 205
Brainerd, MN 56401
Phone (218) 270-9525

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1194105205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2506",
            "address_2": "7251 EXCELSIOR RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564252506",
            "telephone_number": "218-454-0878",
            "fax_number": "218-454-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 EXCELSIOR RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258477",
            "telephone_number": "218-454-0878",
            "fax_number": "218-454-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEMAN",
        "first_name": "JAMIE",
        "middle_name": "TERESA",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "24075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

Verify at the official NPI Registry.