Individual provider Active NPI

Jill Diane Boike, LICSW

  • Clinical Social Worker
  • Edina, MN
National Provider Identifier
1386702561
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15207 Issued in MN
Practice address
5200 Willson Rd Ste 150
Edina, MN 55424-1300
Phone
(763) 270-0054
Fax
(763) 208-6371
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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 15207 MN Primary

Addresses

Primary practice location

5200 Willson Rd Ste 150
Edina, MN 55424-1300

Mailing address

5200 Willson Rd Ste 150
Edina, MN 55424-1300
Phone (763) 270-0054

Other identifiers 1

IdentifierTypeStateIssuer
637982000MedicaidMN

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
I20080602000033 MN Practitioner - Clinical Social Worker 1951471028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5200 Willson Rd
Suite 150
Edina, MN 55424-1300
Phone (763) 270-0054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Connections, LLC CurrentSince May 28, 2009 Accepting new patients

Locations

12760 Aberdeen St NE
Ste 205
Blaine, MN 55449
Phone (763) 286-4257

5200 Willson Rd
Ste 210
Edina, MN 55424
Phone (612) 787-2475

5200 Willson Rd
Ste 150
Minneapolis, MN 55424
Phone (763) 270-0054

11800 Aberdeen St NE
Ste 100
Minneapolis, MN 55449
Phone (763) 270-0054

Organizations & group practices 1

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1386702561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD STE 150",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241300",
            "telephone_number": "763-270-0054",
            "fax_number": "763-208-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD STE 150",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241300",
            "telephone_number": "763-270-0054",
            "fax_number": "763-208-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOIKE",
        "first_name": "JILL",
        "middle_name": "DIANE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "637982000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.