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

Individual provider Clinical Social Worker · NPI 1073611315

Jean Gregg, LICSW is a Clinical Social Worker in Roseville, Minnesota. Qualified in 1990, 36 years ago. Practices with Nathan and Associates LLC, a 4-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
36
Licensed in
MN
In the registry since
2006
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

2233 Hamline Ave N Ste 435
Roseville, MN 55113-5023
Phone: (651) 216-1935
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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 07664 (MN)

Record details

NPI number1073611315
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Nathan And Associates Llc — 4 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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