Individual provider Active NPI

Jason Ray Schweitzer, LICSW

  • Clinical Social Worker
  • Rochester, MN
National Provider Identifier
1679970693
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20694 Issued in MN
Practice address
421 1St Ave SW
Ste 300W
Rochester, MN 55902-3389
Phone
(507) 271-0467
Fax
(507) 540-1451
NPI assigned
Nov 20, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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 20694 MN Primary

Addresses

Primary practice location

421 1St Ave SW
Ste 300W
Rochester, MN 55902-3389

Mailing address

421 1St Ave SW
Ste 300W
Rochester, MN 55902-3389
Phone (507) 271-0467

Other identifiers 1

IdentifierTypeStateIssuer
1679970693MedicaidMN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141229000614 MN Practitioner - Clinical Social Worker 2163745019 Practice locations: Rochester, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

421 1St Ave SW
Suite 300W
Rochester, MN 55902-3389
Phone (507) 271-0467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Counseling Center LLC Past Accepting new patients
Amazing You Therapy, LLC PastSince May 31, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1679970693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 1ST AVE SW",
            "address_2": "STE 300W",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023389",
            "telephone_number": "507-271-0467",
            "fax_number": "507-540-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 1ST AVE SW",
            "address_2": "STE 300W",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023389",
            "telephone_number": "507-271-0467",
            "fax_number": "507-540-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEITZER",
        "first_name": "JASON",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-20",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679970693",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.