JESSICA ANDERSON (LICSW) – Social Worker, NPI 1508105222

JESSICA ANDERSON (LICSW) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Social Worker. They hold the professional credentials LICSW. They hold a License No. 17600 (MN). The NPI Number for JESSICA ANDERSON (LICSW) is 1508105222

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA ANDERSON (LICSW)
NPI
1508105222
Phone
(612) 871-1454
Address
2430 NICOLLET AVE
Enumeration Date
1 February 2013
Last Update Date
8 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512544793
Graduation Year
2010 (16 years ago)
PAC ID
6103199906
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20170830000452
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for JESSICA ANDERSON (LICSW)

  • 2430 NICOLLET AVE

    MINNEAPOLIS, MN 554043461

    Phone: (612) 871-1454

    Fax: (612) 871-1505

    Type: Mailing

  • 8170 33RD AVE S

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 3900 NORTHWOODS DR STE 330

    ARDEN HILLS, MN 551126966

    Phone: (651) 787-9600

    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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55404)

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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: 1759293954View full group profile

Reviews

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Frequently asked questions

Can I cross-check JESSICA ANDERSON (LICSW) using NPI 1508105222?
NPI 1508105222 belongs to JESSICA ANDERSON (LICSW); compare other details if you need extra assurance.
Is JESSICA ANDERSON (LICSW) shown as active in public data?
Registry records indicate JESSICA ANDERSON (LICSW) maintains an active NPI.
What area of care is associated with JESSICA ANDERSON (LICSW)?
JESSICA ANDERSON (LICSW)'s record emphasizes Social Worker. Clinical services aligned with this taxonomy classification.
Is JESSICA ANDERSON (LICSW) located near Minneapolis?
JESSICA ANDERSON (LICSW) currently maps to Minneapolis, Minnesota in this extract.
When was this NPI issued?
Enumeration for JESSICA ANDERSON (LICSW) is noted as February 1, 2013 where the registry provides it.

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