ROBERT JOHN DEJDAR (NPI# 1215041694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215041694 |
| Entity Type | Individual |
| Full Name | ROBERT JOHN DEJDAR |
| Credential | LICSW |
| Practice Address |
1415 Cutters Ln Eagan MN 55122-3800 |
| Practice Telephone | 6516830429 |
| Mailing Telephone | 6516830429 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2361 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1415 CUTTERS LN |
| City | EAGAN |
| State | MN |
| Zip Code | 55122-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
| 1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
| 1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
| Find all providers in zip 55122 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508264268 | Jane Martins | Social Worker | 1765 Forssa Way, Eagan, MN 55122-2693 | 2014-12-11 |
| 1033353669 | Todd Borstad | Social Worker | 3450 O'leary Lane, Eagan, MN 55123 | 2009-04-27 |
| 1497966238 | Jessica Ann Peterson | Social Worker | 1585 Thomas Center Dr, Ste 104, Eagan, MN 55122-3039 | 2007-05-24 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| 1619197167 | James P Hobday Acsw Licsw | Social Worker | 4030 Pilot Knob Rd, Eagan, MN 55122-1814 | 2007-04-26 |
| 1114049772 | Beth Ann Nelson | Social Worker | 4660 Slater Road, Suite 210, Eagan, MN 55122-4055 | 2007-04-04 |
| 1194866764 | Gayle Marian Williams | Social Worker | 4475 Fawn Ridge Trl, Eagan, MN 55123-2090 | 2007-02-08 |
| 1427124205 | Susan Jean Murr | Social Worker | 4655 Nicols Rd Ste 206, Eagan, MN 55122-2395 | 2006-11-25 |
| 1063518025 | Donna Jean Snetting | Social Worker | 3460 Washington Drive, Suite 200, Eagan, MN 55122-1338 | 2006-09-16 |
| 1821052960 | Kathleen Margaret Borer | Social Worker | 3352 Sherman Ct, Suite 104, Eagan, MN 55121-5003 | 2006-04-14 |
| Find all providers in EAGAN | ||||
Please comment or provide details below to improve the information on ROBERT JOHN DEJDAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.