NANDINI JONES (LICSW) – Clinical Social Worker, NPI 1992567655

NANDINI JONES (LICSW) is a healthcare provider. based in White bear lake, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 21452 (MN). The NPI Number for NANDINI JONES (LICSW) is 1992567655

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
NANDINI JONES (LICSW)
NPI
1992567655
Phone
(651) 289-3111
Address
4444 CENTERVILLE RD STE 235
Enumeration Date
29 January 2024
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6124291662
Graduation Year
2013 (13 years ago)
PAC ID
8628416781
Group Practice PAC ID
2860932803
Professional Enrollment ID
I20240409001618
Address ID
MN554151419MI400XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for NANDINI JONES (LICSW)

  • 4444 CENTERVILLE RD STE 235

    WHITE BEAR LAKE, MN 551273712

    Phone: (651) 289-3111

    Mailing address matches the actual address.

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: 2024-04-09

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
I20240409001618IClinical 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.

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

Insurance plans in this area (ZIP 55127)

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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: 2860932803View full group profile
NameSpecialtyState
Mental Health CounselorMN

Reviews

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Frequently asked questions

What is NANDINI JONES (LICSW)'s NPI number?
NANDINI JONES (LICSW)'s NPI is 1992567655 — the number used across U.S. healthcare to identify this provider.
Would NANDINI JONES (LICSW) appear as active to a payer?
You can treat NANDINI JONES (LICSW) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with NANDINI JONES (LICSW)?
NANDINI JONES (LICSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is NANDINI JONES (LICSW) associated with White Bear Lake?
Public fields place NANDINI JONES (LICSW) around White Bear Lake, Minnesota. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for NANDINI JONES (LICSW) is noted as January 29, 2024 where the registry provides it.

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