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

Jennifer Anne Ellsworth, LICSW

Individual provider Clinical Social Worker · NPI 1811794159

Jennifer Anne Ellsworth, LICSW is a Clinical Social Worker in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025
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

1025 Marsh St
Mankato, MN 56001-4752
Phone: (507) 625-1811
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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 29294 (MN)

Record details

NPI number1811794159
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 25, 2025
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025

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