Individual provider Active NPI

Jessica Sue Struwve, MSW

  • Clinical Social Worker
  • Aitkin, MN
National Provider Identifier
1922563873
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22272 Issued in MN
Practice address
13 3Rd St NE
Aitkin, MN 56431-1421
Phone
(218) 928-8003
Fax
(218) 928-8006
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 22272 MN Primary

Addresses

Primary practice location

13 3Rd St NE
Aitkin, MN 56431-1421

Mailing address

19917 472ND St
McGregor, MN 55760-4425
Phone (218) 513-5890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22272MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Pines Mental Health Center, Inc. PastSince Aug 25, 2019 Accepting new patients

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1922563873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19917 472ND ST",
            "city": "MCGREGOR",
            "state": "MN",
            "postal_code": "557604425",
            "telephone_number": "218-513-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 3RD ST NE",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311421",
            "telephone_number": "218-928-8003",
            "fax_number": "218-928-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUWVE",
        "first_name": "JESSICA",
        "middle_name": "SUE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aitkin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.