Jeffry David Jeanetta Wark, MA LICSW
Clinical Social Worker · Roseville, MN
Jeffry David Jeanetta Wark, MA LICSW is a clinical social worker with a practice address in Roseville, Minnesota, and NPI 1982778932, issued on Nov 20, 2006. Check the license (Minnesota 09459, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jeffry David Jeanetta Wark
- Credential
- MA LICSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 09459 MN
Self-reported in NPPES; status is on the state search - Practice location
- 1751 County Road B W Ste 100, Roseville, MN 55113
- Phone
- (651) 698-0768
- Enumerated
- Nov 20, 2006
- Record last updated
- Mar 21, 2018 (not updated in 8 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20100423000563); may accept Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 6,609 in Minnesota → Look up another NPI →
Also registered at 1751 County Road B W Ste 100
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Jeffry David Jeanetta Wark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 09459Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jeffry David Jeanetta Wark among 6,609 clinical social worker records in Minnesota
Jeffry David Jeanetta Wark, MA LICSW is one of 6,609 clinical social worker records with a practice address in Minnesota. 24% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than under 1% of them.
- NPI issued2006 · under 1% of these records are older, 89% newer
- In a Medicare fileNo · 24% of these records are
- In the CMS Doctors and Clinicians fileYes · 31% of these records are
- Graduated1991 · median 2014 among the 2,023 with a school on file
- Record last updated2018 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
68 clinical social worker records list a practice address in Roseville
They are 68 of the 1,288 NPPES records with a practice address in Roseville, and 6,609 clinical social worker records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 6,609 in Minnesota → Every provider in Roseville → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Donna Anderson, LICSWRoseville, MN 551131669491908
- Nancy Beckes, LICSWRoseville, MN 551131295897494
- Julie Childs, M.S.W.Roseville, MN 551131700811486
- Jane Diamond, MSWRoseville, MN 551131487716221
- Carl Gaede, LCSWRoseville, MN 551131831316025
- Michael Graff, LICSWRoseville, MN 551131871718932
- Jean Gregg, LICSWRoseville, MN 551131073611315
- Timothy McGuire, LICSW, BCDRoseville, MN 551131306843586
Common questions
What is Jeffry David Jeanetta Wark, MA LICSW's NPI number?
Jeffry David Jeanetta Wark, MA LICSW's National Provider Identifier (NPI) is 1982778932, issued on Nov 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jeffry David Jeanetta Wark, MA LICSW located?
The NPPES record lists a practice address at 1751 County Road B W Ste 100, Roseville, MN, 55113. Phone: (651) 698-0768. Providers update this record themselves, so call before visiting.
How can I verify Jeffry David Jeanetta Wark, MA LICSW's license?
NPPES lists Minnesota license number 09459, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.