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

Individual provider Clinical Social Worker · NPI 1568999308

Jim Gaylord, LICSW is a Clinical Social Worker in Duluth, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017
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

6208 E Superior St
Duluth, MN 55804-2542
Phone: (218) 343-9401
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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 19749 (MN)

Record details

NPI number1568999308
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 11, 2017

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