Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Rae Croatt Niemi, LICSW

Individual provider Clinical Social Worker · NPI 1265653653

Jessica Rae Croatt Niemi, LICSW is a Clinical Social Worker in Bemidji, Minnesota. Graduated from University of Wisconsin School of Medicine in 2000, 26 years ago. Practices with Lake Country Associates, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
26
Trained at
University of Wisconsin School of Medicine
Licensed in
MN
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1426 Bemidji Ave N Ste 1
Bemidji, MN 56601-3882
Phone: (218) 444-2233
Fax: (218) 237-2520
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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 15124 (MN)

Record details

NPI number1265653653
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESJune 16, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Lake Country Associates, Inc. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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