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JENNIFER M CARLSON MSW, LICSW
NPI 1205790862
Social Worker - Clinical in Minneapolis, MN

Active since December 09, 2025PECOS Enrolled
2215 E LAKE ST FL 5, MINNEAPOLIS, MN 55407(612) 596-9438 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer M Carlson Msw, Licsw NPPES

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

JENNIFER M CARLSON MSW, LICSW (NPI 1205790862) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (10227) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1205790862
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER M CARLSONCredential: MSW, LICSW
Location Address2215 E LAKE ST FL 5Minneapolis, MN 55407-4385
Mailing Address2215 E Lake St Fl 5Minneapolis, MN 55407-4385
Phone(612) 596-9438
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
✔ NPI 1205790862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 10227
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.
2215 E LAKE ST FL 5, Minneapolis, MN 55407
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer M Carlson Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234625476
PECOS Enrollment IDI20251226001332
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE ROSS CNP, PMHNP-BC, FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
2215 E LAKE ST FL 5
MINNEAPOLIS, MN 55407
Hennepin County (612) 596-9438
MRS. BRIANNA BRAUN LPCC, LADC
Counselor (Mental Health)
2215 E LAKE ST FL 5
MINNEAPOLIS, MN 55407
Hennepin County (612) 543-2298
KRISTEN DEANN SUTLEY M.D.
Psychiatry & Neurology (Psychiatry)
2215 E LAKE ST FL 5
MINNEAPOLIS, MN 55407
Hennepin County (612) 596-9438
ANNA CHRISTINE BAILEY LICSW
Social Worker (Clinical)
2215 E LAKE ST FL 5
MINNEAPOLIS, MN 55407
Hennepin County (612) 596-9438

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 Jennifer Carlson's NPI number?

The NPI number for Jennifer Carlson is 1205790862. It was assigned to this individual provider in the NPPES registry on December 9, 2025.

Where is Jennifer Carlson located?

Jennifer Carlson practices at 2215 E Lake St Fl 5, Minneapolis, MN 55407. The listed phone number is (612) 596-9438.

What is Jennifer Carlson's specialty?

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

Is Jennifer Carlson enrolled in Medicare?

Yes. Jennifer Carlson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Carlson was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.