Individual provider Active NPI

Jill Mathiowetz Sweeny, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1730200197
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15912 Issued in MN
Practice address
7766 Highway 65 NE
Minneapolis, MN 55432-2868
Phone
(763) 789-4798
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 15912 MN Primary

Addresses

Primary practice location

7766 Highway 65 NE
Minneapolis, MN 55432-2868

Mailing address

7766 Highway 65 NE
Minneapolis, MN 55432-2868
Phone (763) 789-4798

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
I20220308002496 MN Practitioner - Clinical Social Worker 4183018146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7766 Hwy 65 NE
Spring Lake Park, MN 55432-2832
Phone (763) 205-4843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15912MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Resources, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Mental Health Resources, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Expanse - a Minnesota Mental Health Ketamine & Psychedelic Psychother CurrentSince Apr 12, 2023 Accepting new patients
Mental Health Resources, Inc. Current Accepting new patients

Locations

2701 University Ave SE
Minneapolis, MN 55414
Phone (612) 627-3500

2701 University Ave SE
Ste 203
Minneapolis, MN 55414

762 Transfer Rd
Ste 21
Saint Paul, MN 55114
Phone (651) 659-2900

7766 Highway 65 NE
Spring Lake Park, MN 55432
Phone (763) 205-4843

Organizations & group practices 4

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1730200197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7766 HIGHWAY 65 NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554322868",
            "telephone_number": "763-789-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 HIGHWAY 65 NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554322868",
            "telephone_number": "763-789-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENY",
        "first_name": "JILL",
        "middle_name": "MATHIOWETZ",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.