Individual provider Active NPI

Jesse Cramer, MSW, LICSW, LADC

  • Clinical Social Worker
  • New Hope, MN
National Provider Identifier
1225435167
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20436 Issued in MN
Practice address
5555 Boone Ave N
New Hope, MN 55428-3636
Phone
(651) 774-0011
Fax
(651) 774-0606
NPI assigned
Nov 20, 2014
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 303113 MN
Clinical Social Worker 1041C0700X 20436 MN Primary

Addresses

Primary practice location

5555 Boone Ave N
New Hope, MN 55428-3636

Mailing address

1430 Concordia Ave Unit 4216
Saint Paul, MN 55104-3129
Phone (651) 300-0644

Other practice location 1

1430 Concordia Ave Unit 4216
Saint Paul, MN 55104-3129
Phone (651) 300-0644

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
I20180426001774 MN Practitioner - Clinical Social Worker 5092038919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
People IncorporatedGroup PAC ID 7012043540, 31 clinicians

Practice addresses (Care Compare)

1930 Coon Rapids Blvd NW
Coon Rapids, MN 55433-4708
Phone (651) 774-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303113MNMDAddiction (Substance Use Disorder) Counselor
20436MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
People Incorporated CurrentSince Mar 23, 2022 Accepting new patients
Healtheast Medical Research Institute Clinical CurrentSince Mar 12, 2018 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
People Incorporated CurrentSince Mar 23, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince Mar 12, 2018 Accepting new patients

Locations

1930 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 427-7964

5555 Boone Ave N
New Hope, MN 55428
Phone (763) 331-3033

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

3000 Ames Crossing Rd
Ste 600
Saint Paul, MN 55121
Phone (651) 288-3467

317 York Ave
Saint Paul, MN 55130
Phone (651) 771-0286

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1225435167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 CONCORDIA AVE UNIT 4216",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043129",
            "telephone_number": "651-300-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 BOONE AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283636",
            "telephone_number": "651-774-0011",
            "fax_number": "651-774-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Concordia Ave Unit 4216",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551043129",
            "country_code": "US",
            "telephone_number": "651-300-0644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "JESSE",
        "credential": "MSW, LICSW, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-20",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303113",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

Verify at the official NPI Registry.