Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFRY DAVID JEANETTA WARK, MA LICSW
Active Sole ProprietorMR. JEFFRY DAVID JEANETTA WARK, MA LICSW is a Clinical Social Worker healthcare provider located in ROSEVILLE, Minnesota. NPI 1982778932 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ROSEVILLE, MN
Registration Details
- NPI Number
- 1982778932
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2006 (19.700904611102 yrs)
- Last Updated
- Mar 21, 2018
- License
-
09459 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1751 COUNTY ROAD B W STE 100ROSEVILLE, MN, 551134037Browse MN providers · Browse ZIP 55113
- Phone
- 6516980768
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in ROSEVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| MR. TIMOTHY EDWARD MCGUIRE | LICSW, BCD | 1306843586 |
| MS. JULIE ANN CHILDS | M.S.W. | 1700811486 |
| MS. SHANNON E POWELL | MA LICSW | 1578589511 |
| DONNA ANDERSON | LICSW | 1669491908 |
| JEAN GREGG | LICSW | 1073611315 |
| MS. NANCY KAY S BECKES | LICSW | 1295897494 |
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.