Jessica Ann Christensen

Individual provider Active NPI Clinical Social Worker · Hugo, MN

NPI 1992293625 · NPPES record last updated Aug 13, 2024

Key facts

NPI
1992293625
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
32703 (MN)
Practice address
4638 Victor Path Ste 900
Hugo, MN 55038-4732
Phone
(651) 364-3839
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32703MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD Clinical Current
since Aug 18, 2024
Accepting new patients

Locations

4638 Victor Path
Ste 900
Hugo, MN 55038
Phone (651) 270-7012

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 600107010303610
Clinical Social Worker 1041C0700X 32703 MN Yes

Addresses

Primary practice location

4638 Victor Path Ste 900
Hugo, MN 55038-4732

Mailing address

21 W Golden Lake Rd
Circle Pines, MN 55014-1703
Phone (404) 953-0112

Other providers in Hugo, MN

All providers in Hugo, MN · Clinical Social Worker in Minnesota

Sources for this page

Verify at the official NPI Registry.