Individual provider Active NPI

Jaime Elizabeth Christmas, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1780074997
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19864 Issued in MN
Practice address
1221 W Lake St
Suite 201
Minneapolis, MN 55408-3397
Phone
(612) 824-1772
Fax
(612) 821-4799
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 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 19864 MN Primary

Addresses

Primary practice location

1221 W Lake St
Suite 201
Minneapolis, MN 55408-3397

Mailing address

1221 W Lake St
Suite 201
Minneapolis, MN 55408-3397
Phone (612) 824-1772

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
I20150401000679 MN Practitioner - Clinical Social Worker 0143547125 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catalyst Mental Health, GBCGroup PAC ID 1355500752, 29 clinicians

Practice addresses (Care Compare)

1915 Lyndale Ave S
Minneapolis, MN 55403-3104
Phone (800) 336-5973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
North Homes, Inc CurrentSince Oct 9, 2017 Accepting new patients
Catalyst Mental Health, GBC CurrentSince Jan 2, 2018 Accepting new patients
Catalyst Mental Health, GBC CurrentSince Jan 2, 2018 Accepting new patients
Allina Health System CurrentSince May 11, 2015 Accepting new patients
Allina Health System CurrentSince May 11, 2015 Accepting new patients

Locations

4225 Technology Dr NW
Bemidji, MN 56601
Phone (218) 751-0282

303 SE 1st St
Grand Rapids, MN 55744
Phone (218) 326-0349

413 SE 13th St
Grand Rapids, MN 55744
Phone (218) 327-3000

1915 Lyndale Ave S
Minneapolis, MN 55403
Phone (800) 336-5973

8120 Penn Ave S
Ste 270
Minneapolis, MN 55431
Phone 8003365973 ext. 3

1221 W Lake St
Ste 201
Minneapolis, MN 55408
Phone (612) 270-9652

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

Organizations & group practices 6

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1780074997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W LAKE ST",
            "address_2": "SUITE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083397",
            "telephone_number": "612-824-1772",
            "fax_number": "612-821-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W LAKE ST",
            "address_2": "SUITE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083397",
            "telephone_number": "612-824-1772",
            "fax_number": "612-821-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTMAS",
        "first_name": "JAIME",
        "middle_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.