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Active NPI 1356088991 Individual Practitioner Female Practitioner

Jennifer Brummer , LICSW

Social Worker • Shakopee, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jennifer Brummer, LICSW is a certified Social Worker practicing in Shakopee, MN. With approximately 12 years of clinical experience since completing medical education in 2014, Jennifer Brummer delivers high-quality medical care to the local community at 1240 3RD AVE E STE 100.

Jennifer Brummer is affiliated with Diamond Lake Clinic, P.C. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1240 3rd Ave E Ste 100

Shakopee, MN 553791679

Telephone 9527774996

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Shakopee, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -6.5 yrs vs City Avg
City Avg: 18.5 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Shakopee, MN (1047 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brummer (12 Years) 12 Yrs
Shakopee Specialty Average (18.5 Years) 18.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-04-17
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MN 10674

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

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

Diamond Lake Clinic, P.c.

5939 Portland Ave, Minneapolis, MN 554173127

Phone: 6128694444

Practice Associates & Co-Workers

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

15 Associated Practitioners
Ryan Dietman , BS

Behavior Technician

NPI 1053923318

Bachelor of Science

Olawunmi Agboola Adekoya

Counselor - Mental Health

NPI 1124679238
Jenna French , BCBA

Behavior Analyst

NPI 1235536863

Board Certified Behavior Analyst

Alexa De Leon

Behavior Technician

NPI 1295494748
Claribell Ezennia

Early Intervention Provider Agency

NPI 1497639140
Delaney Fletcher

Behavior Technician

NPI 1518692664

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2023

Social Worker (License #10674 in MN)

NPI Profile Active May 16, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2022

Registered at 1240 3RD AVE E STE 100, SHAKOPEE, MN 553791679 (Tel: 9527774996)

📍
Updated Business Mailing Address May 16, 2022

Registered at 1240 3RD AVE E STE 100, SHAKOPEE, MN 553791679 (Tel: 9527774996)

👤
Provider Name / Credentials Updated May 16, 2022

Recorded as JENNIFER BRUMMER, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2022

Social Worker

🟢
Initial NPI Registration & Enumeration May 16, 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: 1356088991
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2022
Last Update: April 17, 2023
Sole Proprietor: No

Mailing Address

1240 3rd Ave E Ste 100

Shakopee, MN 553791679

Phone: 9527774996

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.