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

Individual provider Clinical Social Worker · NPI 1245479609

Jennifer Kay Wilson, LICSW is a Clinical Social Worker in Maplewood, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2009
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

1575 Beam Ave
Maplewood, MN 55109-1126
Phone: (651) 232-7356
Fax: (651) 232-7696
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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 13762 (MN)

Record details

NPI number1245479609
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 9, 2009
Last updated in NPPESFebruary 9, 2009

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