Individual provider Active NPI

Jessica Rose Cylkowski, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1811237779
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18073 Issued in MN
Practice address
275 4TH St E Ste 555
Saint Paul, MN 55101-2538
Phone
(651) 605-6370
Fax
(715) 802-6332
NPI assigned
Feb 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 18073 MN Primary

Addresses

Primary practice location

275 4TH St E Ste 555
Saint Paul, MN 55101-2538

Mailing address

1255 Danforth St
Saint Paul, MN 55117-4201
Phone (612) 267-6434

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
I20150804004020 MN Practitioner - Clinical Social Worker 5597079525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Minnesota Medical School, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Hope and Outreach Therapy Services, LLCGroup PAC ID 9830525351, 4 clinicians

Practice addresses (Care Compare)

275 4TH St E
Suite 555
Saint Paul, MN 55101-2538
Phone (651) 605-6370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ramsey County Mental Health Center CurrentSince May 20, 2015 Accepting new patients
Ramsey County Mental Health CurrentSince May 20, 2015 Accepting new patients
Ramsey County Mental Health Center Current Accepting new patients
Hope & Outreach Therapy Services, LLC Clinical CurrentSince Feb 1, 2020 Accepting new patients

Locations

1919 University Ave W
Ste 20
Saint Paul, MN 55104

1919 University Ave W
Ste 200
Saint Paul, MN 55104
Phone (651) 266-7999

275 4th St E
Ste 555
Saint Paul, MN 55101
Phone (651) 605-6370

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1811237779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 DANFORTH ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174201",
            "telephone_number": "612-267-6434",
            "fax_number": "715-802-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 4TH ST E STE 555",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012538",
            "telephone_number": "651-605-6370",
            "fax_number": "715-802-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYLKOWSKI",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.