Daine Qiao Jorento, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11911 Issued in MN

Practice address

442 Burlington Rd
Saint Paul, MN 55119-5316

Phone

(651) 815-5145

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Abc Mental Health Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1942310974
  NPD (past) Authorized official
• Nystrom & Associates, LTD

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1376653386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 BURLINGTON RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551195316",
            "telephone_number": "651-815-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 BURLINGTON RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551195316",
            "telephone_number": "651-815-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORENTO",
        "first_name": "DAINE",
        "middle_name": "QIAO",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth T Jordan, MD
• Marvel Jordan
• Melina Ann Jordan, PT, DPT
• Margery Elizabeth Jordheim
• Brooke Patricia Jore, PA-C
• Jewels Jorgensen
• Malinda Marie Jorgensen, MD
• Scott Frederick Jorgensen, DPM
• Beth Christine Jorgenson, RN
• Beverly S Jorgenson, NNP

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.