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

Mr. Jeremy Taylor Krentz, LADC, LICSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1750842241

Mr. Jeremy Taylor Krentz, LADC, LICSW is a Clinical Social Worker in Saint Cloud, Minnesota. Qualified in 2019, 7 years ago. Practices with St Cloud Hospital, a 215-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.
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

3701 12th St N Ste 201
Saint Cloud, MN 56303-2253
Phone: (320) 229-3760
Fax: (320) 229-3764
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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 28258 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 303541 (MN)

Record details

NPI number1750842241
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC , LICSW
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Cloud Hospital — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Cloud