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

Andrea Suzanne Jagusch, LICSW

Individual provider Clinical Social Worker · NPI 1861736878

Andrea Suzanne Jagusch, LICSW is a Clinical Social Worker in Maplewood, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1575 Beam Ave
Maplewood, MN 55109-1126
Phone: (651) 326-7662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Social Worker (primary) Taxonomy 1041S0200X · Licence 465089 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 19881 (MN)

Record details

NPI number1861736878
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012

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