Individual provider Active NPI

Jennifer Cara Whetstone, LICSW

  • Clinical Social Worker
  • Winona, MN
National Provider Identifier
1265728174
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16625 Issued in MN
Practice address
420 E Sarnia St
Winona, MN 55987-6365
Phone
(507) 454-4341
Fax
(507) 453-6267
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 16625 MN
Clinical Social Worker 1041C0700X 16625 MN Primary

Addresses

Primary practice location

420 E Sarnia St
Winona, MN 55987-6365

Mailing address

420 E Sarnia St
Winona, MN 55987-6365
Phone (507) 454-4341

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
I20140506001869 MN Practitioner - Clinical Social Worker 0840423448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hiawatha Valley Mental Health Center IncGroup PAC ID 7113026998, 25 clinicians

Practice addresses (Care Compare)

1821 University Ave W
Suite 461 12
Saint Paul, MN 55104-2801
Phone (612) 353-4172

420 E Sarnia St
Suite 2100
Winona, MN 55987-6414
Phone (507) 454-4341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16625MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Health Center LLC CurrentSince Mar 1, 2025 Accepting new patients
Hiawatha Valley Mental Health Center Inc. CurrentSince Apr 1, 2014 Accepting new patients
Hiawatha Valley Mental Health Center PastSince Nov 15, 2020 Accepting new patients
Hiawatha Valley Mental Health Center Past Accepting new patients

Locations

221 S Kingston St
Caledonia, MN 55921
Phone (507) 725-2022

2835 S Service Dr
Ste 103
Red Wing, MN 55066
Phone (651) 327-2270

1821 University Ave W
Ste 461-12
Saint Paul, MN 55104
Phone (612) 353-4172

611 Broadway Ave
Ste 100
Wabasha, MN 55981
Phone (651) 565-2234

420 E Sarnia St
Winona, MN 55987
Phone (507) 454-3680

420 E Sarnia St
Ste 2100
Winona, MN 55987
Phone (507) 454-4341

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/hvmhc/r4/

Organizations & group practices 4

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1265728174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E SARNIA ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876365",
            "telephone_number": "507-454-4341",
            "fax_number": "507-453-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E SARNIA ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876365",
            "telephone_number": "507-454-4341",
            "fax_number": "507-453-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETSTONE",
        "first_name": "JENNIFER",
        "middle_name": "CARA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "16625",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.