LINDSEY NICOLE JOB (MSW, LICSW) – Social Worker, NPI 1245949320

LINDSEY NICOLE JOB (MSW, LICSW) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LICSW. They hold a License No. 24794 (MN). The NPI Number for LINDSEY NICOLE JOB (MSW, LICSW) is 1245949320

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LINDSEY NICOLE JOB (MSW, LICSW)
NPI
1245949320
Phone
(612) 262-9000
Address
2925 CHICAGO AVE
Enumeration Date
17 November 2022
Last Update Date
30 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514540114
Graduation Year
2015 (11 years ago)
PAC ID
3072983642
Group Practice PAC ID
2860304045
Professional Enrollment ID
I20221226000128
Address ID
MN551232340EA3450XLNXX300
Telehealth
Yes

Contacts

Secure Messaging
ljob617210@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for LINDSEY NICOLE JOB (MSW, LICSW)

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Type: Mailing

  • 11269 JEFFERSON HWY N

    CHAMPLIN, MN 553163123

    Phone: (763) 236-0600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221226000128IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860304045View full group profile
NameSpecialtyState
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical PsychologistMN
Clinical Social WorkerMN
Mental Health CounselorMN
Marriage And Family TherapistMN
-NJ
Mental Health CounselorVA
-MN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Where can patients find LINDSEY NICOLE JOB (MSW, LICSW)'s NPI?
You can confirm LINDSEY NICOLE JOB (MSW, LICSW) with NPI 1245949320; it appears in the national provider directory.
Is LINDSEY NICOLE JOB (MSW, LICSW) active in the national directory?
LINDSEY NICOLE JOB (MSW, LICSW)'s public NPI profile is in an active state.
Can you summarize LINDSEY NICOLE JOB (MSW, LICSW)'s specialty in plain language?
Clinically, the directory lists LINDSEY NICOLE JOB (MSW, LICSW) with Social Worker. Clinical services aligned with this taxonomy classification.
Where is LINDSEY NICOLE JOB (MSW, LICSW)'s primary listing?
We display Minneapolis, Minnesota because that is what the record indicates for LINDSEY NICOLE JOB (MSW, LICSW).
What if Minneapolis, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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