Individual provider · Type 1 NPI

Jennifer Ann Itskovich, MSW

Clinical Social Worker · Woodbury, MN

NPI number 1427265255 Active

Practice location

700 Commerce Dr Ste 255
Woodbury, MN 55125-5406

Fax (651) 344-0820

Mailing address

10634 E Riverside Dr Ste 130
Bothell, WA 98011-3758

Other practice locations

  • 18323 July Ave N, Forest Lake, MN 55025-9788 · (651) 257-4159

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLW00009171 (WA)
Clinical Social Worker Primary 1041C0700X20368 (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 1427265255

Jennifer Ann Itskovich, MSW's National Provider Identifier is 1427265255, issued on May 17, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodbury, MN. The record was last updated on Sep 30, 2022.