Individual provider Active NPI

Jennifer Lee Yates

  • Clinical Social Worker
  • Elk River, MN
National Provider Identifier
1417745944
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31683 Issued in MN
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

Updated by the provider on May 26, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260603003069 MN Practitioner - Clinical Social Worker 6800367509 Reassigns benefits to 1 organization

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
Family Innovations IncGroup PAC ID 6204178528, 96 clinicians

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

OrganizationSpecialtyStatusNew patients
Centered & Balanced Therapy Mental Health Current Accepting new patients
Northern Cities Therapy, Inc. Mental Health CurrentSince Apr 27, 2025 Accepting new patients
Family Innovations, Inc. Clinical CurrentSince May 28, 2026 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.

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

Verify at the official NPI Registry.