Individual provider Active NPI

Jeanette Jean Foizie, LICSW, LCSW

  • Clinical Social Worker
  • Cambridge, MN
National Provider Identifier
1366041378
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22691 Issued in MN
Practice address
817 Main St N
Cambridge, MN 55008-1275
Phone
(763) 325-0300
Fax
(763) 325-0301
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 60597 TX
Clinical Social Worker 1041C0700X 22691 MN Primary

Addresses

Primary practice location

817 Main St N
Cambridge, MN 55008-1275

Mailing address

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Phone (651) 628-9566

Other practice location 1

11109 127th St SE
Clear Lake, MN 55319-9491
Phone (651) 491-5108

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
I20210126001704 MN Practitioner - Clinical Social Worker 6305250788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

1900 Silver Lake NWRD
Suite 110
New Brighton, MN 55112-1789

1900 Silver Lake Rd NW
New Brighton, MN 55112-1789
Phone (651) 628-9566

817 Main St N
Cambridge, MN 55008-1275
Phone (763) 325-0300

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60597TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mille Lacs Health System CurrentSince Jul 31, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Family Support Services Inc. CurrentSince Dec 1, 2020 Accepting new patients
Mille Lacs Health System CurrentSince Jul 31, 2024 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Nystrom & Associates, LTD Clinical CurrentSince Jan 11, 2021 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

207 Jefferson Blvd
Big Lake, MN 55309
Phone (763) 367-6080

817 Main St N
Cambridge, MN 55008
Phone (763) 325-0300

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

1900 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 379-1704

Interoperability endpoints

  • Direct secure messaging: jfoizie601704@excellian.direct.allina.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1366041378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER LAKE RD NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551121786",
            "telephone_number": "651-628-9566",
            "fax_number": "651-628-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 MAIN ST N",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081275",
            "telephone_number": "763-325-0300",
            "fax_number": "763-325-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11109 127th St SE",
            "address_purpose": "LOCATION",
            "city": "Clear Lake",
            "state": "MN",
            "postal_code": "553199491",
            "country_code": "US",
            "telephone_number": "651-491-5108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOIZIE",
        "first_name": "JEANETTE",
        "middle_name": "JEAN",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60597",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MN

Sources for this page

Verify at the official NPI Registry.