Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jana Lee Theisen, LCAC, LCSW

Individual provider Clinical Social Worker · NPI 1851694806

Jana Lee Theisen, LCAC, LCSW is a Clinical Social Worker in Grand Forks, North Dakota. Qualified in 2018, 8 years ago. Practices with Agassiz Associates, PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
8
Licensed in
ND
In the registry since
2010
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4700 S Washington St Ste G
Grand Forks, ND 58201-8155
Phone: (701) 746-6336
Fax: (701) 772-1030
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1598 (ND)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4196 (ND)

Record details

NPI number1851694806
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAC , LCSW
Sole proprietorNo
NPI enumeratedDecember 14, 2010
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Agassiz Associates, Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Forks