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

Jaelyn Richter, LICSW

Individual provider Clinical Social Worker · NPI 1649943846

Jaelyn Richter, LICSW is a Clinical Social Worker in Eden Prairie, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

7700 Equitable Dr
Eden Prairie, MN 55344-3684
Phone: (952) 932-7277
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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 31299 (MN)
Social Worker Taxonomy 104100000X

Record details

NPI number1649943846
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 26, 2021
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

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