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

Jessica Staples, LICSW

Individual provider Clinical Social Worker · NPI 1609580893

Jessica Staples, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
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

525 Portland Ave # MC963
Minneapolis, MN 55415-1533
Phone: (612) 596-1223
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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 26409 (MN)

Record details

NPI number1609580893
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 11, 2023
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023

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