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CENTER FOR INTEGRATED WELL BEING INC
NPI 1053485003
Social Worker - Clinical in Saint Paul, MN

Active since November 20, 2006
1449 GRAND AVE, SAINT PAUL, MN 55105(651) 698-0768(651) 698-0660 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Center For Integrated Well Being Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR INTEGRATED WELL BEING INC (NPI 1053485003) is a healthcare organization registered as a clinical in Saint Paul, Minnesota and active in the NPI registry since November 2006. The organization lists Jeffry David Jeanetta Wark, Owner, as its authorized official.

NPPES Registry Identity

NPI1053485003
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCENTER FOR INTEGRATED WELL BEING INC
Location Address1449 GRAND AVESaint Paul, MN 55105-2206
Mailing Address1449 Grand AveSaint Paul, MN 55105-2206 · (651) 698-0768 · Fax (651) 698-0660
Phone(651) 698-0768
Fax(651) 698-0660
Organization SubpartNo
Authorized OfficialJeffry David Jeanetta WarkOwner · (651) 698-0768
Enumeration DateNovember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053485003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1449 GRAND AVE, Saint Paul, MN 55105
Open in Google Maps ↗

Other Identifiers 2

Other483889Value Options
Other13GS2WABcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Center For Integrated Well Being Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Center For Integrated Well Being Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffry Jeanetta-Wark, MA LICSW
Clinical Social Worker
NPI 1982778932
1751 COUNTY ROAD B W STE 100
Roseville, MN 55113
(651) 698-0768
✔ PECOS4.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Integrated Well Being Inc's NPI number?

The NPI number for Center For Integrated Well Being Inc is 1053485003. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Center For Integrated Well Being Inc located?

Center For Integrated Well Being Inc is located at 1449 Grand Ave, Saint Paul, MN 55105. The listed phone number is (651) 698-0768.

What is Center For Integrated Well Being Inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Center For Integrated Well Being Inc enrolled in Medicare?

Yes. Center For Integrated Well Being Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center For Integrated Well Being Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Center For Integrated Well Being Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Center For Integrated Well Being Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.