Jolene Marie Metcalf, LICSW
Individual provider Active NPI Clinical Social Worker · Centerville, MN
NPI 1295499192 · NPPES record last updated Oct 26, 2021
Key facts
- NPI
- 1295499192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 17628 (MN)
- Practice address
- 7039 20TH Ave
Centerville, MN 55038-9737 - Phone
- (651) 288-0332
- Fax
- (651) 288-0493
- NPI assigned
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centerlife Counseling LLC
Practice addresses (Care Compare)
7039 20TH Ave
Centerville, MN 55038-9737
Phone 6512880332131
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211229001361 | MN | Practitioner - Clinical Social Worker | 9234520271 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerlife Counseling, LLC | Clinical | Current |
Accepting new patients |
Locations
7039 20th Ave
Hugo, MN 55038
Phone (651) 288-0332
4444 Centerville Rd
Ste 235
White Bear Lake, MN 55127
Phone (651) 289-3111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17628 | MN | Yes |
Addresses
Primary practice location
7039 20TH Ave
Centerville, MN 55038-9737
Mailing address
2018 Dale St N
Roseville, MN 55113-6476
Phone (651) 278-2251
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmetcalf@centerlifecounseling.com | Direct |
Other providers in Centerville, MN
- Shanasi Mason
- Lori Lee McDaniel
- Linda McGinnis
- Karen Michele McKenzie
- Aaron Merritt
- Modern Dental Professionals, Minnesota PC
- Patricia Morgan-John
- Virginia Murauskas
- Jenna N Palermo
- Rachel Peterson
All providers in Centerville, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.