Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeremy Mork, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1285441832

Mr. Jeremy Mork, MSW, LICSW is a Clinical Social Worker in Vadnais Heights, Minnesota. Licensed in Minnesota. Registered with an NPI since 2024.

Licensed in
MN
In the registry since
2024
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

3200 Labore Rd Ste 104
Vadnais Heights, MN 55110-5186
Phone: (612) 387-9243
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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 17776 (MN)

Record details

NPI number1285441832
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

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