Individual
JESSICA MAE MATHWIG-OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
(612) 871-1454
Mailing address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
(612) 871-1454
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17292
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355452000
—
MN
01
—
456G7MA
BCBS
MN
01
—
822524000
MAGELLEN
MN
01
—
HP56139
HEALTH PARTNERS
MN
Enumeration date
10/18/2006
Last updated
05/02/2023
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