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

Jennifer Brummer, LICSW

Individual provider Social Worker · NPI 1356088991

Jennifer Brummer, LICSW is a Clinical Social Worker in Shakopee, Minnesota. Qualified in 2014, 12 years ago. Practices with Diamond Lake Clinic, PC, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2022
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

1240 3rd Ave E Ste 100
Shakopee, MN 55379-1679
Phone: (952) 777-4996
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 10674 (MN)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1356088991
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 16, 2022
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023
Mailing address1240 3rd Ave E Ste 100, Shakopee, MN 55379-1679

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Diamond Lake Clinic, P.C. — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Shakopee