Active NPI
Jan Schwartz, MALP LICSW
- Clinical Social Worker
- Edina, MN
National Provider Identifier
1710054325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 856
- Practice address
- 5100 Eden Ave
Suite 109
Edina, MN 55436-2337 - Phone
- (952) 926-4613
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2192 | MN | |
| Clinical Social Worker | 1041C0700X | 856 | MN | Primary |
Addresses
Primary practice location
5100 Eden Ave
Suite 109
Edina, MN 55436-2337
Mailing address
5100 Eden Ave
#109
Edina, MN 55436-2337
Phone (952) 926-4613
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2192 | MN | MD | Psychologist |
| 856 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1710054325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 EDEN AVE",
"address_2": "#109",
"city": "EDINA",
"state": "MN",
"postal_code": "554362337",
"telephone_number": "952-926-4613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 EDEN AVE",
"address_2": "SUITE 109",
"city": "EDINA",
"state": "MN",
"postal_code": "554362337",
"telephone_number": "952-926-4613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "JAN",
"credential": "MALP LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "2192",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
- Charles Steven Schutt, LPCC, LADC
- Tyler James Schuurmans, D.D.S.
- Jessika Jade Schwalen, D.C.
- Tara Rae Schwandt, CNM, IBCLC
- Heidi Rose Schwartz, PSYD, LP
- Joyce Theresa Schwartz, PTA
- Kathryn Kuhlmann Schwartz, PSY D, LP
- Morgan Schwartz, PSY.D. L.P.
- Paula L. Schwartz, AU.D.
- Naomi Joy Schwenke, M.A., PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.