Active NPI
Janet E. Casey, MSW, LICSW
- Clinical Social Worker
- Clear Lake, MN
National Provider Identifier
1295734994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 04341
- Practice address
- 11959 77TH St
Clear Lake, MN 55319-9420 - Phone
- (320) 743-3639
- Fax
- (320) 743-4119
- NPI assigned
- Jul 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 04341 | MN | Primary |
Addresses
Primary practice location
11959 77TH St
Clear Lake, MN 55319-9420
Mailing address
PO Box 352
Becker, MN 55308-0352
Phone (320) 743-3639
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3577252 | Medicaid | MN | |
| 05Q34CA | Other | MN | BC/BS INDIVIDUAL |
| HP 25252 | Other | MN | HEALTH PARTNERS |
| 05Q33CA | Other | MN | BC/BS BUSINESS # |
| 1016732 | Other | MN | PREFERRED ONE |
| 110586 | Other | MN | U-CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04341 | MN | MD | Clinical Social Worker |
| 4341 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220659200000",
"number": "1295734994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 352",
"city": "BECKER",
"state": "MN",
"postal_code": "553080352",
"telephone_number": "320-743-3639",
"fax_number": "320-743-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11959 77TH ST",
"city": "CLEAR LAKE",
"state": "MN",
"postal_code": "553199420",
"telephone_number": "320-743-3639",
"fax_number": "320-743-4119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "JANET",
"middle_name": "E.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2008-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "04341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3577252",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS INDIVIDUAL",
"identifier": "05Q34CA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP 25252",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS BUSINESS #",
"identifier": "05Q33CA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1016732",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U-CARE",
"identifier": "110586",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.