Individual provider Active NPI

Sheri Lynn Judge Arnett, MSW/LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1710367958
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
640 Jackson St.
Ed Crisis Unit - Mail Stop 11302B
St. Paul, MN 55101-2595
Phone
(651) 254-1000
Fax
(651) 254-9595
NPI assigned
Jun 3, 2015
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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 Primary

Addresses

Primary practice location

640 Jackson St.
Ed Crisis Unit - Mail Stop 11302B
St. Paul, MN 55101-2595

Mailing address

640 Jackson St.
Ed Crisis Unit - Mail Stop: 11302B
St. Paul, MN 55101-2595
Phone (651) 254-1000

Other identifiers 1

IdentifierTypeStateIssuer
03236OtherMNMSW/LICSW

Other names 1

  • Ms. Sheri Lynn Jacobs Former name

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
I20041110000252 MN Practitioner - Clinical Social Worker 4587627500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Canvas Health, Inc. CurrentSince Apr 8, 2021 Accepting new patients

Locations

7066 Stillwater Blvd N
Saint Paul, MN 55128

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1710367958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST.",
            "address_2": "ED CRISIS UNIT - MAIL STOP: 11302B",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551012595",
            "telephone_number": "651-254-1000",
            "fax_number": "651-254-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST.",
            "address_2": "ED CRISIS UNIT - MAIL STOP 11302B",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551012595",
            "telephone_number": "651-254-1000",
            "fax_number": "651-254-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNETT",
        "first_name": "SHERI",
        "middle_name": "LYNN JUDGE",
        "name_prefix": "Ms.",
        "credential": "MSW/LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSW/LICSW",
            "identifier": "03236",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "JACOBS",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.