Active NPI
Jaunita Reichstadt
- School Social Worker
- Fridley, MN
National Provider Identifier
1770416323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 30215
- Practice address
- 615 Mississippi St NE
Fridley, MN 55432-4423 - Phone
- (763) 502-5232
- NPI assigned
- Jun 4, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 30215 | MN | Primary |
Addresses
Primary practice location
615 Mississippi St NE
Fridley, MN 55432-4423
Mailing address
615 Mississippi St NE
Fridley, MN 55432-4423
Phone (763) 502-5232
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1770416323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 MISSISSIPPI ST NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554324423",
"telephone_number": "763-502-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 MISSISSIPPI ST NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554324423",
"telephone_number": "763-502-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHSTADT",
"first_name": "JAUNITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-04",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MN",
"license": "30215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.