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

Jyoti Wadhwa

Individual provider Clinical Social Worker · NPI 1518791334

Jyoti Wadhwa is a Clinical Social Worker in Shakopee, Minnesota. Qualified in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
34
Licensed in
MN
In the registry since
2024
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Practice location Address checks out

15815 Franklin Trl SE Ste 301
Shakopee, MN 55372-5505
Phone: (952) 592-2955
Fax: (800) 587-2859
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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 17961 (MN)

Record details

NPI number1518791334
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2024
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address15815 Franklin Trl Se Ste 301, Prior Lake, MN 55372-5505

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Shakopee