Active NPI
Jennifer Avery Leopold, MSW LICSW
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1386713071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10481
- Practice address
- 3133 Hennepin Ave So
Jennifer Leopold Licsw
Minneapolis, MN 55408 - Phone
- (612) 718-9327
- Fax
- (612) 822-4477
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 10481 | MN | Primary |
Addresses
Primary practice location
3133 Hennepin Ave So
Jennifer Leopold Licsw
Minneapolis, MN 55408
Mailing address
2304 Oliver Avenue South
Jennifer Leopold Licsw
Minneapolis, MN 55405
Phone (612) 718-9327
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6249141 | Other | MN | UBH MEDICA |
| 385S7LE | Other | MN | BLUE CROSS BLUE SHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10481 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386713071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2304 OLIVER AVENUE SOUTH",
"address_2": "JENNIFER LEOPOLD LICSW",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55405",
"telephone_number": "612-718-9327",
"fax_number": "612-822-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3133 HENNEPIN AVE SO",
"address_2": "JENNIFER LEOPOLD LICSW",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55408",
"telephone_number": "612-718-9327",
"fax_number": "612-822-4477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEOPOLD",
"first_name": "JENNIFER",
"middle_name": "AVERY",
"credential": "MSW LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "10481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH MEDICA",
"identifier": "6249141",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "385S7LE",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.