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Active NPI 1114668829 Individual Practitioner Male Practitioner

Jeffrey Scott Widner , LICSW

Social Worker - Clinical • Bemidji, MN

Professional Overview & Biography Verified Profile Summary

Jeffrey Widner, LICSW is a certified Social Worker - Clinical practicing in Bemidji, MN. With approximately 6 years of clinical experience since completing medical education in 2020, Jeffrey Widner delivers high-quality medical care to the local community at 403 4TH ST NW STE 115.

Jeffrey Widner is affiliated with I Am Incorporated and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

403 4th St Nw Ste 115

Bemidji, MN 566013155

Telephone 2182149389
Fax 2185172034
Associated Practice Facility / Clinic
🏢 I Am Incorporated Facility NPI 1215601422

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Bemidji, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -9.5 yrs vs City Avg
City Avg: 15.5 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
69 Specialists

Practicing in Bemidji, MN (6749 Statewide)

Telehealth Adoption Rate
15.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Widner (6 Years) 6 Yrs
Bemidji Specialty Average (15.5 Years) 15.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-05-31
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License MN 29410

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License WI 11755-123

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.

Hospital & Practice Group Affiliations

I Am Incorporated

403 4th St Nw, Bemidji, MN 566013155

Phone: 2182149389

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1396583829

Doctor of Philosophy (Ph.D.)

Deonne Widner , MSW, LICSW

Social Worker - Clinical

NPI 1689817751

Master of Social Work, Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2024

Social Worker (License #11755-123 in WI)

📍
Updated Practice Location January 30, 2023

Registered at 403 4TH ST NW STE 115, BEMIDJI, MN 566013155 (Tel: 2182149389)

📍
Updated Business Mailing Address January 30, 2023

Registered at 403 4TH ST NW STE 115, BEMIDJI, MN 566013155 (Tel: 2182149389)

👤
Provider Name / Credentials Updated January 30, 2023

Recorded as JEFFREY WIDNER, LICSW

NPI Profile Active April 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2022

Registered at 522 BELTRAMI AVE NW STE 115, BEMIDJI, MN 566013002 (Tel: 2182149389)

📍
Updated Business Mailing Address April 05, 2022

Registered at 522 BELTRAMI AVE NW STE 115, BEMIDJI, MN 566013002 (Tel: 2182149389)

👤
Provider Name / Credentials Updated April 05, 2022

Recorded as JEFFREY WIDNER, LGSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Social Worker (License #29410 in MN)

🟢
Initial NPI Registration & Enumeration April 05, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114668829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2022
Last Update: May 31, 2024
Sole Proprietor: No

Mailing Address

403 4th St Nw Ste 115

Bemidji, MN 566013155

Phone: 2182149389

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.