Individual provider Active NPI

Justin David Less, LICSW

  • Clinical Social Worker
  • Burnsville, MN
National Provider Identifier
1508033739
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17750 Issued in MN
Practice address
201 W Burnsville Pkwy
Burnsville, MN 55337-2527
Phone
(651) 200-8788
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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 17750 MN Primary

Addresses

Primary practice location

201 W Burnsville Pkwy
Burnsville, MN 55337-2527

Mailing address

13800 Nicollet Blvd Unit 1941
Burnsville, MN 55337-6143
Phone (651) 200-8788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090928000112 MN Practitioner - Clinical Social Worker 2668528043 Reassigns benefits to 1 organization
I20250422002599 WI Practitioner - Clinical Social Worker 2668528043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Wisconsin School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12301 Nicollet Ave
Apt 2450
Burnsville, MN 55337-2974
Phone (651) 200-8788

611 Interlachen Ave
Oregon, WI 53575-8806
Phone (651) 200-8788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Path Counseling LLC CurrentSince Jul 1, 2012 Accepting new patients

Locations

13800 Nicollet Blvd
Unit 1941
Burnsville, MN 55337
Phone (651) 200-8788

3450 Oleary Ln
Saint Paul, MN 55123
Phone (651) 454-0114

6580 Monona Dr
Monona, WI 53716
Phone (608) 622-7728

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.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1508033739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 NICOLLET BLVD UNIT 1941",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376143",
            "telephone_number": "651-200-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BURNSVILLE PKWY",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372527",
            "telephone_number": "651-200-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESS",
        "first_name": "JUSTIN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2021-02-08",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.