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JESSICA WALDEMARSEN LICSW
NPI 1679197602
Social Worker - Clinical in Willmar, MN

Active since June 05, 2020PECOS Enrolled
217 INDUSTRIAL DR SW, WILLMAR, MN 56201(320) 212-8481(320) 200-7480 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2026, Jun 5, 2020 (2 updates tracked since 2020).

About Jessica Waldemarsen Licsw NPPES

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

JESSICA WALDEMARSEN LICSW (NPI 1679197602) is an individual clinical provider in Willmar, Minnesota, licensed in Minnesota (28179) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679197602
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA WALDEMARSENCredential: LICSW
Location Address217 INDUSTRIAL DR SWWillmar, MN 56201-2989
Mailing AddressPo Box 284Willmar, MN 56201-0200 · (320) 212-8481 · Fax (320) 200-7480
Phone(320) 212-8481
Fax(320) 200-7480
Sole ProprietorYes
Enumeration DateJune 5, 2020
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1679197602 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 · 28179
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.
217 INDUSTRIAL DR SW, Willmar, MN 56201
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Waldemarsen Licsw 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 56201 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 3

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

ALISA R JOHNSON LPCC
Counselor (Professional)
217 INDUSTRIAL DR SW
WILLMAR, MN 56201
Kandiyohi County (320) 295-3450
MR. TIMOTHY ROGER JOHNSON MA LMFT
Marriage & Family Therapist
217 INDUSTRIAL DR SW
WILLMAR, MN 56201
Kandiyohi County (320) 905-0795
MRS. KELLY MARIE KVEENE L.M.F.T.
Marriage & Family Therapist
217 INDUSTRIAL DR SW
WILLMAR, MN 56201
Kandiyohi County (320) 905-4206

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 Jessica Waldemarsen's NPI number?

The NPI number for Jessica Waldemarsen is 1679197602. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Jessica Waldemarsen located?

Jessica Waldemarsen practices at 217 Industrial Dr SW, Willmar, MN 56201. The listed phone number is (320) 212-8481.

What is Jessica Waldemarsen's specialty?

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

Is Jessica Waldemarsen enrolled in Medicare?

Yes. Jessica Waldemarsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Waldemarsen was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.