Individual provider Active NPI

Jennifer Caleigh Scofield, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1285234146
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26812 Issued in MN
Practice address
649 Dayton Ave
Saint Paul, MN 55104-6631
Phone
(612) 436-4840
Fax
(612) 436-2604
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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 26812 MN Primary

Addresses

Primary practice location

649 Dayton Ave
Saint Paul, MN 55104-6631

Mailing address

2356 University Ave W Ste 430
Saint Paul, MN 55114-1860
Phone (612) 436-4860

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
I20210201000274 MN Practitioner - Clinical Social Worker 1557775681 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26812MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Wellness Collaborative CurrentSince Oct 1, 2024 Accepting new patients
Center for Victims of Torture CurrentSince Dec 1, 2020 Accepting new patients
Medical Care Services, PA CurrentSince Oct 1, 2024 Accepting new patients
Haven Counseling and Consulting, PLLC Past Accepting new patients
Center for Victims of Torture - Bethesda PastSince Nov 1, 2020 Accepting new patients

Locations

900 Long Lake Rd
Ste 160
Saint Paul, MN 55112
Phone (612) 706-9630

649 Dayton Ave
Saint Paul, MN 55104
Phone (612) 436-4840

2356 University Ave W
Ste 430
Saint Paul, MN 55114

Organizations & group practices 5

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": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1285234146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 UNIVERSITY AVE W STE 430",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141860",
            "telephone_number": "612-436-4860",
            "fax_number": "612-436-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 DAYTON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046631",
            "telephone_number": "612-436-4840",
            "fax_number": "612-436-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOFIELD",
        "first_name": "JENNIFER",
        "middle_name": "CALEIGH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.