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

Individual provider Clinical Social Worker · NPI 1215041694

Robert John Dejdar, LICSW is a Clinical Social Worker in Eagan, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

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

1415 Cutters Ln
Eagan, MN 55122-3800
Phone: (651) 683-0429
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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 2361 (MN)

Record details

NPI number1215041694
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 19, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1415 Cutters Ln, Eagan, MN 55122-3800

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