Jessica Rae Metzinger, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18908 Issued in MN

Practice address

5095 Fish Lake Rd
Duluth, MN 55803-8433

Phone

(218) 733-1331

Fax

(218) 721-0421

NPI assigned

Jul 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1881982452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S 20TH AVE W STE A",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558063526",
            "telephone_number": "218-733-1331",
            "fax_number": "218-733-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 FISH LAKE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558038433",
            "telephone_number": "218-733-1331",
            "fax_number": "218-721-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZINGER",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Brett Metcalf, M.D.
• Nicole Marie Metcalf, LADC
• Macy J Meteraud
• Metro Treatment of Minnesota, LP
• Joseph Christopher Metzger Jr., MD
• Alyssa Sue Mewha, PA-C
• Ryan M Mewha
• Anne Meyer, RN, CNP
• Benjamin William Meyer, MD
• Haley Marie Meyer, M.D.

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, 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 Jan 7, 2013; 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.