Active NPI
Jennifer Betlach, MSW, LGSW, MAHS
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1417842873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34733
- Practice address
- 3801 W 50TH St Ste 250B
Minneapolis, MN 55410-2070 - Phone
- (612) 400-9685
- Fax
- (612) 353-5000
- NPI assigned
- Jun 9, 2025
- Last updated
- Jun 9, 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 | 34733 | MN | Primary |
Addresses
Primary practice location
3801 W 50TH St Ste 250B
Minneapolis, MN 55410-2070
Mailing address
3801 W 50TH St Ste 250B
Minneapolis, MN 55410-2070
Phone (612) 400-9685
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Clinical | Current | Accepting new patients |
Locations
3801 W 50th St
Ste 250B
Minneapolis, MN 55410
Phone (612) 400-9685
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sagent Behavioral Health
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1417842873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 W 50TH ST STE 250B",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554102070",
"telephone_number": "612-400-9685",
"fax_number": "612-353-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 W 50TH ST STE 250B",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554102070",
"telephone_number": "612-400-9685",
"fax_number": "612-353-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETLACH",
"first_name": "JENNIFER",
"credential": "MSW, LGSW, MAHS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "34733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
- Bestfit DME, Inc.
- Risquat Betara-Aliyu, PMHNP
- Bethany Covenant Home (Bethany Covenant Village)
- Bethany MN Management, LLC
- Angela Bethea, PA
- Bette Magyar Johnson Consulting, Inc.
- Better Balance Psychological Services, LLC (Better Balance Psychology)
- Better Care Inc
- Better Fit Psychology & Consulting
- Better Hand Community and Health Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.