Jessica Podpeskar

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JESSICA PODPESKAR

Practice address

4140 Richard Ave Ste 314
Hermantown, MN 55811-3309

Phone

(218) 721-8710

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Jessica M PodpeskarNPI 1245992742

Title

Licsw

Phone

(218) 721-8710

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Marie Podpeskar, LICSW

  • Social Worker
  • Duluth, MN
  • NPI 1245992742
  NPD Authorized official
• Chelsey Marie Harju, LICSW

  • Clinical Social Worker
  • Hermantown, MN
  • NPI 1760771273
  NPD (past)

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1780428805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 RICHARD AVE STE 314",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558113309",
            "telephone_number": "218-721-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 RICHARD AVE STE 314",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558113309",
            "telephone_number": "218-721-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA PODPESKAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "PODPESKAR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICSW",
        "authorized_official_telephone_number": "218-721-8710"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela J Idziorek, RNNP
• Christiana Nwanneka Igwe
• Gabriella Louise Jacoby
• Elizabeth A Jatzo
• Sonny Jenkins
• Abby Pershke Johnson, DDS
• Emily Jean Johnson
• Kaia Mae Johnson, BS
• Katlen Marie Johnson
• Kimberly Ann Johnson, CNP

• Clinical Social Worker in Hermantown, MN
• Providers in Hermantown, 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 Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.