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

MS. Mallory Lynn Jacobsen, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1578971842

MS. Mallory Lynn Jacobsen, MSW, LICSW is a Clinical Social Worker in Brooklyn Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
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

9400 Zane Ave N
Brooklyn Park, MN 55443-1814
Phone: (763) 762-6872
Fax: (763) 315-3539
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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 28118 (MN)

Record details

NPI number1578971842
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedJuly 30, 2014
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024

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