Active NPI
Jaelyn Richter, LICSW
- Clinical Social Worker
- Eden Prairie, MN
National Provider Identifier
1649943846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 31299
- Practice address
- 7700 Equitable Dr
Eden Prairie, MN 55344-3684 - Phone
- (952) 932-7277
- NPI assigned
- Jul 26, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 31299 | MN | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
7700 Equitable Dr
Eden Prairie, MN 55344-3684
Mailing address
7700 Equitable Dr
Eden Prairie, MN 55344-3684
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31299 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Opportunities Foundation | Clinical | Past | Accepting new patients |
| Relate Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Minnetonka, MN
- NPI 1053486902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1649943846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 EQUITABLE DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 EQUITABLE DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443684",
"telephone_number": "952-932-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHTER",
"first_name": "JAELYN",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-26",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "31299",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.