MS. JENNIFER ANN ITSKOVICH MSW - NPI 1427265255 - Social Worker in Woodbury, MN

Q: What is Jennifer Itskovich's NPI number?

The NPI number for Jennifer Itskovich is 1427265255. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Jennifer Itskovich's specialty?

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

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About Ms. Jennifer Ann Itskovich Msw NPPES

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

MS. JENNIFER ANN ITSKOVICH MSW (NPI 1427265255) is an individual clinical provider in Woodbury, Minnesota, licensed in Minnesota (20368) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Forest Lake.

NPPES Registry Identity

NPI1427265255

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. JENNIFER ANN ITSKOVICHCredential: MSW

Location Address700 COMMERCE DR STE 255Woodbury, MN 55125-5406

Mailing Address10634 E Riverside Dr Ste 130Bothell, WA 98011-3758 · (425) 821-5021 · Fax (425) 821-7968

Phone(651) 714-3848

Fax(651) 344-0820

Sole ProprietorNo

Enumeration DateMay 17, 2007

Last NPPES UpdateSeptember 30, 2022

NPPES CertifiedSeptember 30, 2022

✔ NPI 1427265255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 20368

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LW00009171 (WA)

700 COMMERCE DR STE 255, Woodbury, MN 55125

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Secondary Practice Location 1

Location 118323 July Ave NForest Lake, MN 55025-9788 · Phone (651) 257-4159

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jennifer Ann Itskovich Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55125 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 5

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

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