Justin L. Schmiesing, MSW, LICSW, LADC
NPI 1457893711ActiveIndividual· Social Worker, Clinical· Cloquet, MN
Social Worker, Clinical (MSW, LICSW, LADC) with Eden Therapy Center, LLC, practicing in Cloquet, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1457893711 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LICSW, LADC |
| Sole proprietor | No |
| NPI issued | Nov 17, 2016 |
| Last updated in NPPES | Mar 30, 2022 |
| Certified by provider | Mar 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 28192 | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 305320 | MN |
| Case Manager/Care Coordinator | 171M00000X | 17801 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Eden Therapy Center, LLCEden Prairie, MN · 9 clinicians
Other clinical social workers in Cloquet
- 1104065192
- 1174877211
- 1427866128
- 1447786652
- 1649915281
- 1053143032
- 1134946809
- 1184228660
- 1184887267
- 1245816701
- 1386201572
- 1386232841
All 47 clinical social workers in Cloquet · All clinical social workers in Minnesota