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

Jacob Byers, LICSW

Individual provider Clinical Social Worker · NPI 1780389981

Jacob Byers, LICSW is a Clinical Social Worker in Moorhead, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
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

4062 28th Ave N
Moorhead, MN 56560-7019
Phone: (507) 351-2143
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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 20390 (MN)

Record details

NPI number1780389981
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 5, 2023
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023
Mailing address4062 28th Ave N, Moorhead, MN 56560-7019

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