Jeffrey Widner, LICSW
NPI 1114668829 · Clinical Social Worker · Bemidji, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey Widner, LICSW is a Clinical Social Worker provider in Bemidji, MN (NPI 1114668829).
Provider details
- NPI number
- 1114668829
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- 11755-123 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2024-05-31
- Certified
- 2024-05-31
Frequently asked questions
- What is Jeffrey Widner's NPI number?
- Jeffrey Widner's National Provider Identifier (NPI) is 1114668829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Widner's specialty?
- Jeffrey Widner is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jeffrey Widner located?
- Jeffrey Widner's practice location on file with NPPES is 403 4th St Nw Ste 115, Bemidji, MN 56601-3155.
- What is Jeffrey Widner's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Widner is (218) 214-9389.
- Does Jeffrey Widner accept Medicare?
- Jeffrey Widner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffrey Widner's NPI active?
- Yes — Jeffrey Widner's NPI (1114668829) is active in the NPPES registry as of the last update on 2024-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.