Individual provider Active NPI

Mary Jo Jirak, LICSW

  • Clinical Social Worker
  • Austin, MN
National Provider Identifier
1801770250
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
302505 Issued in MN
Practice address
1600 8TH Ave NW # E12
Austin, MN 55912-1400
Phone
(888) 423-7247
NPI assigned
Jul 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 302505 MN Primary

Addresses

Primary practice location

1600 8TH Ave NW # E12
Austin, MN 55912-1400

Mailing address

210 McArthur Dr
Albert Lea, MN 56007-4341
Phone (319) 240-6238

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
I20251023001712 MN Practitioner - Clinical Social Worker 7810485620

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1502 London Rd
Duluth, MN 55812-1616

2239 Catskill St
Duluth, MN 55811-3125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302505MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Althing LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1600 8th Ave NW
Rm S105
Austin, MN 55912
Phone (888) 423-7247

1600 8th Ave NW
#E12
Austin, MN 55912
Phone (888) 423-7247

Organizations & group practices 1

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": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1801770250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MCARTHUR DR",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560074341",
            "telephone_number": "319-240-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 8TH AVE NW # E12",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559121400",
            "telephone_number": "888-423-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIRAK",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Miss",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "302505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

Verify at the official NPI Registry.