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

Individual provider Clinical Social Worker · NPI 1710019567

Jane Hurley-Johncox, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 1994, 32 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
32
Licensed in
MN
In the registry since
2007
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

2649 Park Ave
Minneapolis, MN 55407-1006
Phone: (612) 676-1604
Fax: (612) 379-8235
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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 03303 (MN)

Record details

NPI number1710019567
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESOctober 30, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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