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

Jennifer Leigh Vlach, LICSW

Individual provider Clinical Social Worker · NPI 1184692949

Jennifer Leigh Vlach, LICSW is a Clinical Social Worker in Andover, Minnesota. Qualified in 1993, 33 years ago. Practices with Rum River Counseling, Inc, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
33
Licensed in
MN
In the registry since
2006
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1875 Station Pkwy NW
Andover, MN 55304-3319
Phone: (763) 482-9598
Fax: (612) 235-6447
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12459 (MN)

Record details

NPI number1184692949
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Rum River Counseling, Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Andover