Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chad Michael Jayasekera, MA, LICSW

Individual provider Marriage & Family Therapist · NPI 1265701775

Chad Michael Jayasekera, MA, LICSW is a Marriage & Family Therapist in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

1645 106th Ln NW
Coon Rapids, MN 55433-4278
Phone: (651) 210-5370
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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 24240 (MN)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 2132 (MN)

Record details

NPI number1265701775
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LICSW
Sole proprietorNo
NPI enumeratedDecember 29, 2011
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024

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