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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHAD MICHAEL JAYASEKERA, MA, LICSW

Active

CHAD MICHAEL JAYASEKERA, MA, LICSW is a Clinical Social Worker healthcare provider located in COON RAPIDS, Minnesota. NPI 1265701775 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · COON RAPIDS, MN

Registration Details

NPI Number
1265701775
Provider Type
Individual
Gender
Male
NPI Issued
Dec 29, 2011 (14.604417626749 yrs)
Last Updated
May 1, 2024
Licenses
2132 (MN)
24240 (MN)

Practice Information

Address
1645 106TH LN NW
COON RAPIDS, MN, 554334278
Browse MN providers · Browse ZIP 55433
Phone
6512105370
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in COON RAPIDS, MN

Name Credential NPI
LADONNA RAE MEINECKE LICSW 1568436525
RICHARD ALAN WANDERSEE MSW LICSW 1083689624
ROBERT ALLEN SULLIVAN LICSW 1548224355
KRISTI RUTH SANDIN MSW, LICSW 1326076050
DAVID J MATHEWS LICSW 1093815136
MARLENE ANN BEECROFT MSSW, LICSW 1194867432
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.