Individual provider Active NPI

Jazmin Claudia Portillo, LICSW

  • Clinical Social Worker
  • Rochester, MN
National Provider Identifier
1942938154
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32562 Issued in MN
Practice address
300 3Rd Ave SE Ste 206-02
Rochester, MN 55904-4619
Phone
(507) 906-0348
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 32562 MN Primary

Addresses

Primary practice location

300 3Rd Ave SE Ste 206-02
Rochester, MN 55904-4619

Mailing address

300 3Rd Ave SE Ste 206-02
Rochester, MN 55904-4619
Phone (507) 906-0348

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
I20260623002123 MN Practitioner - Clinical Social Worker 9638641392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 3Rd Ave SE
Rochester, MN 55904-4619

3614 Fox Tail TRL NW
Prior Lake, MN 55372-1860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amar Wellness Services, LLC CurrentSince Aug 28, 2022 Accepting new patients
Sol Rise Counseling LLC Mental Health Current Accepting new patients

Locations

3253 19th St NW
Ste 1
Rochester, MN 55901
Phone (507) 218-2424

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1942938154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE STE 206-02",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044619",
            "telephone_number": "507-906-0348",
            "fax_number": "507-322-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE STE 206-02",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044619",
            "telephone_number": "507-906-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "JAZMIN",
        "middle_name": "CLAUDIA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "32562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.