Individual provider Active NPI

Janneu Anna Passow, LICSW

  • Clinical Social Worker
  • Rochester, MN
National Provider Identifier
1902530652
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31196 Issued in MN
Practice address
300 3Rd Ave SE Ste 302
Rochester, MN 55904-4681
Phone
(507) 990-1567
NPI assigned
Jul 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 31196 MN Primary

Addresses

Primary practice location

300 3Rd Ave SE Ste 302
Rochester, MN 55904-4681

Mailing address

300 3Rd Ave SE Ste 302
Rochester, MN 55904-4681
Phone (507) 990-1567

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
I20250507001235 MN Practitioner - Clinical Social Worker 3971020546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Against the Grain LLCGroup PAC ID 4880034214, 3 clinicians

Practice addresses (Care Compare)

300 3Rd Ave SE
Suite 302
Rochester, MN 55904-4681
Phone (507) 218-5913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31196MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Against the Grain LLC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Four Corners Counseling LLC CurrentSince Oct 5, 2025 Accepting new patients

Locations

300 3rd Ave SE
Ste 302
Rochester, MN 55904
Phone (507) 218-5913

Organizations & group practices 2

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": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1902530652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE STE 302",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044681",
            "telephone_number": "507-990-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE STE 302",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044681",
            "telephone_number": "507-990-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSOW",
        "first_name": "JANNEU",
        "middle_name": "ANNA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-10",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.