Jay Theisen, MSW LICSW
NPI 1588627889 · Clinical Social Worker · Minneapolis, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jay Theisen, MSW LICSW is a Clinical Social Worker provider in Minneapolis, MN (NPI 1588627889).
Provider details
- NPI number
- 1588627889
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW LICSW
- Sex
- Male
- License
- 13782 (MN)
Specialties & taxonomies
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
20 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
- 2006-04-08
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jay Theisen's NPI number?
- Jay Theisen's National Provider Identifier (NPI) is 1588627889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jay Theisen's specialty?
- Jay Theisen is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jay Theisen located?
- Jay Theisen's practice location on file with NPPES is 2649 Park Ave, Minneapolis, MN 55407.
- What is Jay Theisen's phone number?
- The practice phone number listed in the NPPES registry for Jay Theisen is (612) 676-1604.
- Does Jay Theisen accept Medicare?
- Jay Theisen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jay Theisen's NPI active?
- Yes — Jay Theisen's NPI (1588627889) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.