Individual provider Active NPI

Jean Francis Zerby, LICSW

  • Clinical Social Worker
  • Fridley, MN
National Provider Identifier
1851468169
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16762 Issued in MN
Practice address
6401 University Ave NE
Suite 304 Bhsi LLC
Fridley, MN 55432-4344
Phone
(651) 769-6250
Fax
(651) 769-6299
NPI assigned
Nov 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 16762 MN Primary

Addresses

Primary practice location

6401 University Ave NE
Suite 304 Bhsi LLC
Fridley, MN 55432-4344

Mailing address

2497 7TH Ave E
Suite 101 C/O Bhsi LLC
North St Paul, MN 55109-2496
Phone (651) 769-6437

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
I20091110000276 MN Practitioner - Clinical Social Worker 5294873345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bhsi LLCGroup PAC ID 3274504816, 33 clinicians

Practice addresses (Care Compare)

2497 7TH Ave E
Suite 101
North St Paul, MN 55109-2946
Phone (651) 769-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16762MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bhsi, LLC CurrentSince Jun 15, 2009 Accepting new patients

Locations

6401 University Ave NE
Ste 304
Fridley, MN 55432
Phone (651) 769-6250

2497 7th Ave E
Saint Paul, MN 55109
Phone (651) 387-2165

2497 7th Ave E
Ste 101
Saint Paul, MN 55109
Phone (651) 769-6400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851468169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 7TH AVE E",
            "address_2": "SUITE 101 C/O BHSI LLC",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551092496",
            "telephone_number": "651-769-6437",
            "fax_number": "651-769-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 UNIVERSITY AVE NE",
            "address_2": "SUITE 304 BHSI LLC",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554324344",
            "telephone_number": "651-769-6250",
            "fax_number": "651-769-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERBY",
        "first_name": "JEAN",
        "middle_name": "FRANCIS",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

Verify at the official NPI Registry.