NPI 1053206920
Tia Marie Jansen, MSWLGSW
Practice location
- Address
- 7200 Forestview Ln N, Maple Grove, MN 55369-5571
- Phone
- (763) 200-1466
- Mailing address
- 11901 Central Park Way Unit 2454, Maple Grove, MN 55369-2671
Registered specialties
Social Worker
Primary
Registry record
- NPI
- 1053206920
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Jun 2025
- Record last updated
- 11 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.