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

Mrs. Jill Elizabeth Smith, LICSW

Individual provider Clinical Social Worker · NPI 1306013826

Mrs. Jill Elizabeth Smith, LICSW is a Clinical Social Worker in Burnsville, Minnesota. Qualified in 1998, 28 years ago. Offers telehealth. Licensed in Minnesota.

Years since qualifying
28
Licensed in
MN
In the registry since
2008
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

12425 River Ridge Blvd #200
Burnsville, MN 55337-4871
Phone: (952) 562-8500
Fax: (952) 562-8501
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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 13702 (MN)

Record details

NPI number1306013826
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 14, 2008
Last updated in NPPESMay 14, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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