Alissa Eischens, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

24118 Issued in MN

Practice address

445 Broadway Ave
St Paul Park, MN 55071-1554

Phone

(952) 500-3830

Fax

(866) 450-3814

NPI assigned

Mar 19, 2015

Last updated

May 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Native American Community ClinicGroup PAC ID 8224921978, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Native American Community Clinic

  • Public Health or Welfare Agency
  • Minneapolis, MN
  • NPI 1932258845
  Medicare reassignment Care Compare group NPD
• Native American Community Clinic

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1730366600
  NPD
• Brave Soul Counseling Services, LLC

  • Marriage & Family Therapist
  • St Paul Park, MN
  • NPI 1457724205
  NPD (past)
• Expanse - a Minnesota Mental Health Ketamine & Psychedelic Psychother

  dba Expanse MN

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
  • NPI 1528726775
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1447644224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 UPPER AFTON RD APT A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551066857",
            "telephone_number": "312-498-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BROADWAY AVE",
            "city": "ST PAUL PARK",
            "state": "MN",
            "postal_code": "550711554",
            "telephone_number": "952-500-3830",
            "fax_number": "866-450-3814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 University Ave SE Ste 204",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554143236",
            "country_code": "US",
            "telephone_number": "763-205-4843",
            "fax_number": "612-416-2085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISCHENS",
        "first_name": "ALISSA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "24118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "24118",
            "identifier": "24118",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Anne Buck, SLP
• Angelina Davis
• Nicole Davis, MSW, LICSW, LADC
• Nikki Donnella Divirgilio, MSW, LGSW
• Dustin Dukart, D.C.
• Jill Ellingson, MA, LMFT
• Evident Healthcare Management LLC
• Evident Social Services LLC
• Evident Transport LLC
• Gentle Comfort Home Care LLC

• Social Worker in St Paul Park, MN
• Providers in St Paul Park, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.