JESSICA COBURN MSW, LICSW
NPI 1477332443
Social Worker - Clinical in Grand Rapids, MN

Q: What is Jessica Coburn's NPI number?

The NPI number for Jessica Coburn is 1477332443. It was assigned to this individual provider in the NPPES registry on September 27, 2023.

Q: What is Jessica Coburn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Coburn was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 27, 2023PECOS EnrolledAccepts Medicare Assignment

2310 NW 3RD ST, GRAND RAPIDS, MN 55744(218) 328-3214 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Jessica Coburn Msw, Licsw NPPES

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

JESSICA COBURN MSW, LICSW (NPI 1477332443) is an individual clinical provider in Grand Rapids, Minnesota, licensed in Minnesota (30094) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1477332443

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA COBURNCredential: MSW, LICSW

Location Address2310 NW 3RD STGrand Rapids, MN 55744-2135

Mailing Address41332 County Road 603Nashwauk, MN 55769-4149 · (218) 966-2384

Phone(218) 328-3214

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 27, 2023

Last NPPES UpdateApril 24, 2025

NPPES CertifiedApril 24, 2025

✔ NPI 1477332443 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 · 30094

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.

2310 NW 3RD ST, Grand Rapids, MN 55744

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Coburn Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658727052

PECOS Enrollment IDI20231020001832

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 55744 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.

LAKEVIEW BEHAVIORAL HEALTH INC.

Community/Behavioral Health