Active NPI
Andrea Kay Foleybeckwalburn Jensen, MSW, LICSW
- Clinical Social Worker
- Shakopee, MN
National Provider Identifier
1518470939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26417
- Practice address
- 8170 Old Carriage CT Ste 200
Shakopee, MN 55379-3169 - Phone
- (507) 530-3852
- NPI assigned
- Nov 7, 2017
- 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 | 26417 | MN | Primary |
Addresses
Primary practice location
8170 Old Carriage CT Ste 200
Shakopee, MN 55379-3169
Mailing address
2751 Upland LN N
Plymouth, MN 55447-1949
Phone (612) 516-4292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26417 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1518470939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 UPLAND LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554471949",
"telephone_number": "612-516-4292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8170 OLD CARRIAGE CT STE 200",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793169",
"telephone_number": "507-530-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "ANDREA",
"middle_name": "KAY FOLEYBECKWALBURN",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-07",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "26417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shakopee, MN
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.