Jean Fagerstrom, MSW, LICSW
NPI 1861963118 · Clinical Social Worker · Roseville, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jean Fagerstrom, MSW, LICSW is a Clinical Social Worker provider in Roseville, MN (NPI 1861963118).
Provider details
- NPI number
- 1861963118
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LICSW
- Sex
- Female
- Sole proprietor
- Yes
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
7 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2018-12-16
- Last updated
- 2018-12-16
Frequently asked questions
- What is Jean Fagerstrom's NPI number?
- Jean Fagerstrom's National Provider Identifier (NPI) is 1861963118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jean Fagerstrom's specialty?
- Jean Fagerstrom is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jean Fagerstrom located?
- Jean Fagerstrom's practice location on file with NPPES is 2233 Hamline Ave N Ste 435, Roseville, MN 55113-5023.
- What is Jean Fagerstrom's phone number?
- The practice phone number listed in the NPPES registry for Jean Fagerstrom is (612) 440-8535.
- Does Jean Fagerstrom accept Medicare?
- Jean Fagerstrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jean Fagerstrom's NPI active?
- Yes — Jean Fagerstrom's NPI (1861963118) is active in the NPPES registry as of the last update on 2018-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.