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

Justin David Jeffrey

Individual provider Clinical Social Worker · NPI 1942670039

Justin David Jeffrey is a Clinical Social Worker in Edina, Minnesota. Qualified in 2013, 13 years ago. Practices with Mary Mullenbach PHD LP Inc, an 18-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
13
Licensed in
MN
In the registry since
2015
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Practice location Address checks out

6550 York Ave S Ste 417
Edina, MN 55435-2336
Phone: (952) 426-3034
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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 22560 (MN)

Record details

NPI number1942670039
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 1, 2015
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mary Mullenbach Phd Lp Inc — 18 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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