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

Jennifer Conrad, LICSW

Individual provider Clinical Social Worker · NPI 1669048583

Jennifer Conrad, LICSW is a Clinical Social Worker in Lake Elmo, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021
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

3819 Laverne Ave N
Lake Elmo, MN 55042-9629
Phone: (612) 242-6115
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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 21481 (MN)

Record details

NPI number1669048583
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 1, 2021
Last updated in NPPESJuly 8, 2021
Certification dateJuly 3, 2021
Mailing address3819 Laverne Ave N, Lake Elmo, MN 55042-9629

Other providers in Lake Elmo