Individual provider Active NPI

Jennie Lee Miskowiec, LICSW

  • Clinical Social Worker
  • Edina, MN
National Provider Identifier
1932470416
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13182 Issued in MN
Practice address
7380 France Ave S
Suite 209
Edina, MN 55435-4535
Phone
(952) 835-6540
Fax
(952) 835-6650
NPI assigned
Jan 16, 2012
Last updated
Jan 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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 13182 MN Primary

Addresses

Primary practice location

7380 France Ave S
Suite 209
Edina, MN 55435-4535

Mailing address

7380 France Ave S
Suite 209
Edina, MN 55435-4535
Phone (952) 835-6540

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Por, LLC Past 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, 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": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1932470416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 FRANCE AVE S",
            "address_2": "SUITE 209",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354535",
            "telephone_number": "952-835-6540",
            "fax_number": "952-835-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 FRANCE AVE S",
            "address_2": "SUITE 209",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354535",
            "telephone_number": "952-835-6540",
            "fax_number": "952-835-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKOWIEC",
        "first_name": "JENNIE",
        "middle_name": "LEE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.