MEDICARE: FJORD CONSULTING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1639042427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FJORD CONSULTING PLLC

Provider Business Mailing Address
First Line	:	8500 NORMANDALE LAKE BLVD # 35020
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55437-3813
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8500 NORMANDALE LAKE BLVD # 35020
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55437-3813
Country	:	US
Telephone Number	:	612-600-1702
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JAI NEGRI
Credential	:
Telephone Number	:	612-600-1702

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	09/26/2025

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