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

Individual provider Clinical Social Worker · NPI 1083131197

Jennifer Egeland, LICSW is a Clinical Social Worker in New Hope, Minnesota. Qualified in 2013, 13 years ago. Practices with Mary Mullenbach PHD LP Inc, an 18-clinician group. Licensed in Minnesota.

Years since qualifying
13
Licensed in
MN
In the registry since
2017
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

5555 Boone Ave N
New Hope, MN 55428-3636
Phone: (763) 504-7893
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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 22565 (MN)

Record details

NPI number1083131197
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 29, 2017
Last updated in NPPESAugust 29, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mary Mullenbach Phd Lp Inc — 18 clinicians
Accepts Medicare assignment Not indicated

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