Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christina Marie Kelly-Jackels, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1598096885

Christina Marie Kelly-Jackels, MSW, LICSW is a Clinical Social Worker in Eden Prairie, Minnesota. Qualified in 2007, 19 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
19
Licensed in
MN
In the registry since
2010
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

8455 Flying Cloud Dr
Eden Prairie, MN 55344-3974
Phone: (952) 993-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 — (612) 274-7466

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 18535 (MN)

Record details

NPI number1598096885
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedJanuary 26, 2010
Last updated in NPPESMay 3, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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