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

Jessica Fanberg

Individual provider Clinical Social Worker · NPI 1679947543

Jessica Fanberg is a Clinical Social Worker in Coon Rapids, Minnesota. Qualified in 2010, 16 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2015
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Practice location Address checks out

3833 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-2599
Phone: (763) 767-3350
Fax: (763) 747-0912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 18522 (MN)

Record details

NPI number1679947543
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 16, 2015
Last updated in NPPESNovember 16, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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