Individual provider · Type 1 NPI

Chad Michael Jayasekera, MA, LICSW

Clinical Social Worker · Coon Rapids, MN

NPI number 1265701775 Active

Practice location

1645 106th Ln NW
Coon Rapids, MN 55433-4278

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X2132 (MN)
Clinical Social Worker Primary 1041C0700X24240 (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 1265701775

Chad Michael Jayasekera, MA, LICSW's National Provider Identifier is 1265701775, issued on Dec 29, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coon Rapids, MN. The record was last updated on May 1, 2024.