Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MALLORY LYNN JACOBSEN, MSW, LICSW
ActiveMS. MALLORY LYNN JACOBSEN, MSW, LICSW is a Clinical Social Worker healthcare provider located in BROOKLYN PARK, Minnesota. NPI 1578971842 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BROOKLYN PARK, MN
Registration Details
- NPI Number
- 1578971842
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 30, 2014 (12.025373358464 yrs)
- Last Updated
- Jul 8, 2024
- License
-
28118 (MN)
Practice Information
- Address
-
9400 ZANE AVE NBROOKLYN PARK, MN, 554431814Browse MN providers · Browse ZIP 55443
- Phone
- 7637626872
- Fax
- 7633153539
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BROOKLYN PARK, MN
| Name | Credential | NPI |
|---|---|---|
| MS. MIREILLE ANNE BARDY | LICSW | 1609964725 |
| MS. JOSEPHINE AMAKA NWOKE | MSW, LICSW | 1548330897 |
| GARY PAUL KEIFENHEIM | MSW, LICSW | 1205903705 |
| MS. KATELYN MARIAH | M.A, LICSW | 1063579936 |
| SARAH DINGA THILMONY | LICSW | 1316198823 |
| MRS. SUSAN ELIZABETH PRANGE GATTO | LICSW | 1104120203 |
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.