Individual provider · Type 1 NPI

Dustin Jacob, LICSW

Clinical Social Worker · Eagan, MN

NPI number 1376967570 Active

Practice location

3450 Oleary Ln
Eagan, MN 55123-2340

Call (651) 454-0114 Map

Mailing address

2523 28th Ave S Apt 2
Minneapolis, MN 55406-3194

Other practice locations

  • 5346 Lyndale Ave S, Minneapolis, MN 55419-1230 · (612) 746-5888

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X149.016078 (IL)
Clinical Social Worker Primary 1041C0700X27099 (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 1376967570

Dustin Jacob, LICSW's National Provider Identifier is 1376967570, issued on Feb 7, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eagan, MN. The record was last updated on Apr 23, 2018.