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

Individual provider Clinical Social Worker · NPI 1962153528

Jacqueline Keller, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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

1 Veterans Dr
Minneapolis, MN 55417-2309
Phone: (612) 629-7251
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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

Record details

NPI number1962153528
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 15, 2022
Last updated in NPPESFebruary 8, 2025
Certification dateFebruary 8, 2025

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