Individual
JENNIFER M CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
2215 E LAKE ST FL 5, MINNEAPOLIS, MN 55407-4385
(612) 596-9438
Mailing address
2215 E LAKE ST FL 5, MINNEAPOLIS, MN 55407-4385
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10227
MN
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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