Individual provider Active NPI

Susan Jane Jorstad, M.S.W

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1548432891
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14316 Issued in MN
Practice address
2312 S 6TH St
Suite F256/2B W
Minneapolis, MN 55454-1336
Phone
(612) 273-8700
Fax
(612) 273-9779
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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 14316 MN Primary

Addresses

Primary practice location

2312 S 6TH St
Suite F256/2B W
Minneapolis, MN 55454-1336

Mailing address

2312 S 6TH St
Suite F256/2B W
Minneapolis, MN 55454-1336
Phone (612) 273-8700

Other names 1

  • Susan Jane Setniker-Vraa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1548432891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 S 6TH ST",
            "address_2": "SUITE F256/2B W",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541336",
            "telephone_number": "612-273-8700",
            "fax_number": "612-273-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 S 6TH ST",
            "address_2": "SUITE F256/2B W",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541336",
            "telephone_number": "612-273-8700",
            "fax_number": "612-273-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORSTAD",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "credential": "M.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SETNIKER-VRAA",
            "middle_name": "JANE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.