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Jonathan Walters

Social Worker β€’ Edina, MN

Active NPI 1962212498 Individual Practitioner Male Practitioner
Practice location in NPPES

6550 York Ave S Ste 417
Edina, MN 554352336

Call 9524263034 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6550 York Ave S Ste 417

Edina, MN 554352336

Telephone 9524263034

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jonathan Walters has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jonathan Walters as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Edina and Minnesota

16 active clinicians are listed under Social Worker with a practice address in Edina, MN (1,021 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Edina

6.2% of these 16 clinicians have the CMS telehealth indicator.

6.2% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-11
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES MN 29041

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20250313001618

Enrollment State Jurisdiction

MN

PECOS Control ID

0749702231

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Marjorie Keyes , LICSW

Social Worker - Clinical

NPI 1972869527

Licensed Independent Clinical Social Worker

Dr. Mary Mullenbach , PhD, LP

Psychologist - Clinical

NPI 1235351826

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location February 11, 2025

Registered at 6550 YORK AVE S STE 417, EDINA, MN 554352336 (Tel: 9524263034)

βœ…
NPI Profile Active January 08, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 08, 2025

Registered at 2813 VIRGINIA AVE S, ST LOUIS PARK, MN 554263033 (Tel: 6517693362)

πŸ“
Business Mailing Address (Initial Record) January 08, 2025

Registered at 2813 VIRGINIA AVE S, ST LOUIS PARK, MN 554263033

πŸ‘€
Provider Name / Credentials (Initial Record) January 08, 2025

Recorded as JONATHAN WALTERS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2025

Social Worker (license number reported to NPPES: MN 29041)

🟒
Initial NPI Registration & Enumeration January 08, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962212498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2025
Last Update: February 11, 2025
Sole Proprietor: Yes

Other Social Workers in Edina

Healthcare providers in Edina

Mailing Address

2813 Virginia Ave S

St Louis Park, MN 554263033

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.