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MR. JEFFRY DAVID JEANETTA WARK MA LICSW
NPI 1982778932
Social Worker - Clinical in Roseville, MN

Active since November 20, 2006PECOS Enrolled
1751 COUNTY ROAD B W STE 100, ROSEVILLE, MN 55113(651) 698-0768 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jeffry David Jeanetta Wark Ma Licsw NPPES

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

MR. JEFFRY DAVID JEANETTA WARK MA LICSW (NPI 1982778932) is an individual clinical provider in Roseville, Minnesota, licensed in Minnesota (09459) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1982778932
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JEFFRY DAVID JEANETTA WARKCredential: MA LICSW
Location Address1751 COUNTY ROAD B W STE 100Roseville, MN 55113-4037
Mailing Address1751 County Road B W Ste 100Roseville, MN 55113-4037 · (651) 698-0768
Phone(651) 698-0768
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 20, 2006
Last NPPES UpdateMarch 21, 2018
✔ NPI 1982778932 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 · 09459
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.
1751 COUNTY ROAD B W STE 100, Roseville, MN 55113
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Other Identifiers 2

Other13GS2WABcbs
Other483889Value Options

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 (PECOS)

Mr. Jeffry David Jeanetta Wark Ma Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496882334
PECOS Enrollment IDI20100423000563
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 55113 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.

PAMELA JOHNSON MA, LMFT, LP
Marriage & Family Therapist
1751 COUNTY ROAD B W STE 100
ROSEVILLE, MN 55113
Ramsey County (612) 719-5636
BRUCE EISENMENGER M.A., LP
Psychologist
1751 COUNTY ROAD B W STE 100
ROSEVILLE, MN 55113
Ramsey County (651) 255-6954
KATHRYN MARIE ROEBER DC
Chiropractor
1751 COUNTY ROAD B W STE 100
ROSEVILLE, MN 55113
Ramsey County (360) 477-2973

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 Jeffry Jeanetta Wark's NPI number?

The NPI number for Jeffry Jeanetta Wark is 1982778932. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Jeffry Jeanetta Wark located?

Jeffry Jeanetta Wark practices at 1751 County Road B W Ste 100, Roseville, MN 55113. The listed phone number is (651) 698-0768.

What is Jeffry Jeanetta Wark's specialty?

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

Is Jeffry Jeanetta Wark enrolled in Medicare?

Yes. Jeffry Jeanetta Wark is registered in the Medicare PECOS enrollment system.

What insurance does Jeffry Jeanetta Wark accept?

Health plans from HealthPartners list Jeffry Jeanetta Wark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffry Jeanetta Wark was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.