Jacob Schuchman Falk, M.S.W., L.I.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26014 Issued in MN

Practice address

7400 Metro Blvd Ste 211
Edina, MN 55439-2321

Phone

(612) 940-2136

NPI assigned

Jan 29, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Evolving Woman Enterprises, Inc.

  • Clinical Social Worker
  • Edina, MN
  • NPI 1013099191
  Medicare reassignment NPD
• Visceralizations PLLC

  • Clinical Social Worker
  • Edina, MN
  • NPI 1508635368
  NPD Authorized official

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1750845244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 211",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392321",
            "telephone_number": "612-940-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 211",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392321",
            "telephone_number": "612-940-2136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7831 E Bush Lake Rd Ste 200N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554393167",
            "country_code": "US",
            "telephone_number": "612-940-2136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUCHMAN FALK",
        "first_name": "JACOB",
        "credential": "M.S.W., L.I.C.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-29",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1508635368",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750845244",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendall Marie Schreier, LPCC
• David Charles Schroeckenstein, MD
• Stephanie J Schroeder, OTR,CHT
• Tamara Schroeher, DPT
• Jordan Michael Schrom
• Gina Rachel Schuchman, M.S.W.
• Dustin Jon Schuett, D.O.
• Sally Walker Schuette, DDS
• Joshua Dean Schulte, MD
• Ashley Elizabeth Schultz Henricksen, LICSW

• Clinical Social Worker in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.