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

Individual provider Clinical Social Worker · NPI 1457636615

Jessica Elizabeth Holly, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
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

1100 Glenwood Ave
Minneapolis, MN 55405-1430
Phone: (612) 871-1454
Fax: (612) 871-1505
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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 19721 (MN)

Record details

NPI number1457636615
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 19, 2011
Last updated in NPPESDecember 3, 2014

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