KAITLYN RAEME JACOBSEN


Address: 2701 13th Ave S, Fargo, ND 58103-3602
Phone: 7012343620

KAITLYN RAEME JACOBSEN (NPI# 1962043026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962043026
Entity Type Individual
Full Name KAITLYN RAEME JACOBSEN
Credential LMSW
Practice Address 2701 13th Ave S
Fargo
ND 58103-3602
Mailing Address 807 Cinnamon Ridge Pl
West Fargo
ND 58078-8190
Practice Telephone 7012343620
Enumeration Date 2019-09-30
Last Update Date 2019-09-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 27539 MN Behavioral Health & Social Service Providers
Y 104100000X Social Worker 5341 ND Behavioral Health & Social Service Providers

Office Location

Street Address 2701 13TH AVE S
City FARGO
State ND
Zip Code 58103-3602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417930835 Denise Renee Schrader Nurse Practitioner 2701 13th Ave S, Fargo, ND 58103-3602 2005-11-21
1801391248 Sarah Genevieve Paur Nurse Practitioner 2701 13th Ave S, Fargo, ND 58103-3602 2018-03-27
1679007058 Molly Christine Linn Pediatrics 2701 13th Ave S, Fargo, ND 58103-3602 2017-04-12
1114470051 Brittany Nygaard Nurse Practitioner 2701 13th Ave S, Fargo, ND 58103-3602 2016-07-27
1457738254 Shawna A Danduran Social Worker 2701 13th Ave S, Fargo, ND 58103-3602 2015-04-30
1174966501 Jolene Day Pharmacist 2701 13th Ave S, Fargo, ND 58103-3602 2013-04-16
1942580246 Sanford Medical Center Fargo Family Medicine 2701 13th Ave S, Fargo, ND 58103-3602 2011-08-18
1093003212 Jacob Fish Pediatrics 2701 13th Ave S, Fargo, ND 58103-3602 2011-07-21
1174755615 Arveity Raghavendra Setty Pediatrics 2701 13th Ave S, Fargo, ND 58103 2009-08-18
1841456324 Rebecca Jo Bakke Pediatrics 2701 13th Ave S, Fargo, ND 58103-3602 2008-08-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659924843 Amanda Hericks Dentist 1338 Gateway Drive S, Fargo, ND 58103 2019-07-17
1285298240 Ann Louise Breen Optometrist Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 2019-04-25
1245706597 Lisa Elaine Livingston Counselor 1337 14 and Half St. S., Fargo, ND 58103 2018-10-15
1528569662 Misty Lynn Hagen Counselor 901 28th St. South, Suite B, Fargo, ND 58103 2018-02-23
1083133011 Faith Homecare Professionals LLC Home Health 304 25th St S, Suite B, Fargo, ND 58103 2017-09-11
1982138749 Matthew Troyer Pharmacist 2425 13th Ave, Fargo, ND 58103 2017-04-18
1801338504 Amy Nguyen Christianson Chiropractor 1650 45th St S Ste 113, Fargo, ND 58103 2016-11-11
1245772359 Andrea Marie Hanson Nurse Practitioner 2400 32nd Ave South, Fargo, ND 58103 2016-11-07
1831647940 Abigail Carmen Burkett Vetter Nurse Practitioner 2928 University Dr S Suite 101, Fargo, ND 58103 2016-09-18
1013361302 Nancy Knowlton Speech-Language Pathologist 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 2016-04-22
Find all providers in zip 58103

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184185266 Mariah Kristine Mcandrew Social Worker 505 40th St. S, Suite B, Fargo, ND 58103-1184 2019-03-29
1487179610 Maddison Hawes Social Worker 1202 Westrac Dr S Ste 100, Fargo, ND 58103-2356 2017-08-09
1881122810 Kristi Clifton Social Worker 1400 32nd Ave N, Fargo, ND 58102-1000 2017-06-04
1114387099 Sara Davis Social Worker 1202 Westrac Drive Suite 400, Fargo, ND 58103 2016-03-04
1609246677 Amanda Logan Social Worker 1202 Westrac Dr S, Suite 400, Fargo, ND 58103-2338 2015-10-02
1881073633 Leah Lindseth Social Worker 1202 Westrac Dr, Suite 100, Fargo, ND 58103 2015-05-27
1841601440 Jodi Kleven Social Worker 2009 33rd Ave S, Fargo, ND 58104-6563 2014-05-16
1922428242 Jeanette Lea Wetch Social Worker 2301 6th St S, Fargo, ND 58103-5303 2014-04-25
1780023556 Cynthia Margaret Moss Social Worker 1112 Nodak Dr., Fargo, ND 58103 2013-06-14
1407166150 April Marie Hagel Social Worker 1112 Nodak Dr. #200, Fargo, ND 58103 2010-10-15
Find all providers in FARGO

Competitor

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City FARGO
Zip Code 58103

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Dataset Information

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.

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