Active NPI
Jennifer Lee Yates
- Clinical Social Worker
- Elk River, MN
National Provider Identifier
1417745944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 31683
- Practice address
- 231 Main St NW Ste 1
Elk River, MN 55330-1542 - Phone
- (763) 438-4971
- NPI assigned
- Apr 25, 2025
- 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 | 31683 | MN | Primary |
Addresses
Primary practice location
231 Main St NW Ste 1
Elk River, MN 55330-1542
Mailing address
231 Main St NW Ste 1
Elk River, MN 55330-1542
Other practice location 1
1833 3rd Ave
Anoka, MN 55303-2424
Phone (612) 915-0049
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1833 3Rd Ave
Anoka, MN 55303-2424
Phone (763) 421-5535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centered & Balanced Therapy | Mental Health | Current | Accepting new patients |
| Northern Cities Therapy, Inc. | Mental Health | Current | Accepting new patients |
| Family Innovations, Inc. | Clinical | Current | Accepting new patients |
Locations
1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535
231 Main St NW
Ste 1
Elk River, MN 55330
Phone (763) 438-4971
Organizations & group practices 3
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.
-
- Marriage & Family Therapist
- Elk River, MN
- NPI 1144793878
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1417745944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 MAIN ST NW STE 1",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 MAIN ST NW STE 1",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301542",
"telephone_number": "763-438-4971"
}
],
"practiceLocations": [
{
"address_1": "1833 3rd Ave",
"address_purpose": "LOCATION",
"city": "Anoka",
"state": "MN",
"postal_code": "553032424",
"country_code": "US",
"telephone_number": "612-915-0049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YATES",
"first_name": "JENNIFER",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-25",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "31683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.