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

Jerry Blume, LICSW

Individual provider Cognitive & Behavioral Psychologist · NPI 1518067701

Jerry Blume, LICSW is a Cognitive & Behavioral Psychologist in Burnsville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

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.

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Practice location Address checks out

1523 Highway 13 E
Burnsville, MN 55337-2917
Phone: (952) 894-4828
Fax: (952) 894-3737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence LICSW12647 (MN)

Record details

NPI number1518067701
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJuly 9, 2007
Mailing address1523 Highway 13 E, Burnsville, MN 55337-2917

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