Individual provider · Type 1 NPI

Jessica Regan, MSW LICSW

Clinical Social Worker · St. Louis Park, MN

NPI number 1235653213 Active

Practice location

6500 Excelsior Blvd
St. Louis Park, MN 55426-4702

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 6363 France Ave S Ste 402, Edina, MN 55435-2142 · (952) 903-1319

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X19666 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1235653213

Jessica Regan, MSW LICSW's National Provider Identifier is 1235653213, issued on Aug 1, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis Park, MN. The record was last updated on Jan 16, 2026.