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

Jennifer M Carlson, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1205790862

Jennifer M Carlson, MSW, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 1999, 27 years ago. Licensed in Minnesota.

Years since qualifying
27
Licensed in
MN
In the registry since
2025
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

2215 E Lake St Fl 5
Minneapolis, MN 55407-4385
Phone: (612) 596-9438
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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 10227 (MN)

Record details

NPI number1205790862
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedDecember 9, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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