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

Individual provider Clinical Social Worker · NPI 1982702361

Tammy Jan Jedlicka, MSW, LICSW is a Clinical Social Worker in Bemidji, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

505 Bemidji Ave N Ste 2
Bemidji, MN 56601-3091
Phone: (218) 333-8496
Fax: (218) 751-0253
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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 13089 (MN)

Record details

NPI number1982702361
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007

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