Active NPI
Jennifer Maas, LGSW
- Social Worker
- Forest Lake, MN
National Provider Identifier
1457255275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15921
- Practice address
- 708 W Broadway Ave Ste a
Forest Lake, MN 55025-3787 - Phone
- (612) 385-2304
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 15921 | MN | Primary |
Addresses
Primary practice location
708 W Broadway Ave Ste a
Forest Lake, MN 55025-3787
Mailing address
708 W Broadway Ave Ste a
Forest Lake, MN 55025-3787
Phone (612) 385-2304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1457255275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 W BROADWAY AVE STE A",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550253787",
"telephone_number": "612-385-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 W BROADWAY AVE STE A",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550253787",
"telephone_number": "612-385-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAAS",
"first_name": "JENNIFER",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "15921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.