Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Lou Jacobsen, MSSW, LICSW

Individual provider Clinical Social Worker · NPI 1295824696

Mary Lou Jacobsen, MSSW, LICSW is a Clinical Social Worker in Owatonna, Minnesota. Qualified in 1991, 35 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
35
Licensed in
MN
In the registry since
2006
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

610 Florence Ave
Owatonna, MN 55060-4704
Phone: (507) 451-2630
Fax: (507) 455-8133
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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 8206 (MN)

Record details

NPI number1295824696
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSW , LICSW
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Owatonna