Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jessica Mountain, LICSW

Individual provider Clinical Social Worker · NPI 1083350714

Jessica Mountain, LICSW is a Clinical Social Worker in Eagan, Minnesota. Licensed in Iowa and Minnesota. Registered with an NPI since 2022.

Licensed in
IA, MN
In the registry since
2022
Specialties on file
2
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

4580 Scott Trl Ste 210
Eagan, MN 55122-4042
Phone: (763) 722-3468
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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 095275 (IA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 33770 (MN)

Record details

NPI number1083350714
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 6, 2022
Last updated in NPPESSeptember 8, 2026
Certification dateSeptember 8, 2026

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