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

Jay Lee Theisen, MSWLICSW

Individual provider Clinical Social Worker · NPI 1588627889

Jay Lee Theisen, MSWLICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

2649 Park Ave
Minneapolis, MN 55407
Phone: (612) 676-1604
Fax: (612) 379-8235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 13782 (MN)

Record details

NPI number1588627889
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLICSW
Sole proprietorNo
NPI enumeratedApril 8, 2006
Last updated in NPPESJuly 13, 2026

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