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

Jordyn Ann Koski, LCSW

Individual provider Clinical Social Worker · NPI 1568815959

Jordyn Ann Koski, LCSW is a Clinical Social Worker in Fargo, North Dakota. Qualified in 2016, 10 years ago. Practices with Southeast Human Service Center, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota, North Dakota and Nebraska.

Years since qualifying
10
Licensed in
MN, ND, NE
In the registry since
2016
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2624 9th Ave S
Fargo, ND 58103-2350
Phone: (701) 298-4500
Fax: (701) 298-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5147 44th St S, Fargo, ND 58104-6069 — (701) 369-3181

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5017 (ND)
Clinical Social Worker Taxonomy 1041C0700X · Licence 24379 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4262 (NE)

Record details

NPI number1568815959
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 20, 2016
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southeast Human Service Center — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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