Active NPI
Jesse Francis Valentin, LICSW
- Clinical Social Worker
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29213
- Practice address
- 5354 Parkdale Dr FL 2
St Louis Park, MN 55416-1603 - Phone
- (651) 645-5323
- NPI assigned
- Oct 24, 2023
- Sex
- Male
- 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 | 29213 | MN | Primary |
Addresses
Primary practice location
5354 Parkdale Dr FL 2
St Louis Park, MN 55416-1603
Mailing address
5354 Parkdale Dr FL 2
Minneapolis, MN 55416-1603
Phone (888) 364-5977
Other practice location 1
430 Oak Grove St Apt 405
Minneapolis, MN 55403-3693
Phone (608) 658-5636
Other names 1
- Jessica Ruth Hanner
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2265 Como Ave
Saint Paul, MN 55108-1737
Phone (651) 645-5323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Program P C | Current | Accepting new patients |
Locations
2265 Como Ave
Saint Paul, MN 55108
5354 Parkdale Dr
Fl 2
St Louis Park, MN 55416
Phone 6516455323 ext. 1480
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1528165065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1477325454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5354 PARKDALE DR FL 2",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554161603",
"telephone_number": "888-364-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5354 PARKDALE DR FL 2",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161603",
"telephone_number": "651-645-5323"
}
],
"practiceLocations": [
{
"address_1": "430 Oak Grove St Apt 405",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554033693",
"country_code": "US",
"telephone_number": "608-658-5636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALENTIN",
"first_name": "JESSE",
"middle_name": "FRANCIS",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-24",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "29213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "HANNER",
"middle_name": "RUTH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.