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

Individual provider Clinical Social Worker · NPI 1174629869

Annette L Jacob, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 1984, 42 years ago. Practices with Midwest Center for Personal and Family Development, PA, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
42
Licensed in
MN
In the registry since
2006
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

2550 University Ave W Ste 435S
Saint Paul, MN 55114-1052
Phone: (651) 647-1900
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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 11266 (MN)

Record details

NPI number1174629869
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 16, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Midwest Center For Personal And Family Development, P.A. — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Saint Paul