Jeffry Jeanetta Wark, MA LICSW
NPI 1982778932 · Clinical Social Worker · Roseville, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffry Jeanetta Wark, MA LICSW is a Clinical Social Worker provider in Roseville, MN (NPI 1982778932).
Provider details
- NPI number
- 1982778932
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MA LICSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 09459 (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
19 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
- 2006-11-20
- Last updated
- 2018-03-21
Frequently asked questions
- What is Jeffry Jeanetta Wark's NPI number?
- Jeffry Jeanetta Wark's National Provider Identifier (NPI) is 1982778932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffry Jeanetta Wark's specialty?
- Jeffry Jeanetta Wark is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jeffry Jeanetta Wark located?
- Jeffry Jeanetta Wark's practice location on file with NPPES is 1751 County Road B W Ste 100, Roseville, MN 55113-4037.
- What is Jeffry Jeanetta Wark's phone number?
- The practice phone number listed in the NPPES registry for Jeffry Jeanetta Wark is (651) 698-0768.
- Does Jeffry Jeanetta Wark accept Medicare?
- Jeffry Jeanetta Wark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffry Jeanetta Wark's NPI active?
- Yes — Jeffry Jeanetta Wark's NPI (1982778932) is active in the NPPES registry as of the last update on 2018-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.