Individual provider · Type 1 NPI

Brian Jessy Oduguwa, MSW, LICSW

Clinical Social Worker · Plymouth, MN

NPI number 1497358733 Active

Practice location

Address: 10000 Hwy 55, Suite 200
Plymouth, MN 55441

Mailing address

1904 14th St S
St. Cloud, MN 56301-4813

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X22350 (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 1497358733

Brian Jessy Oduguwa, MSW, LICSW's National Provider Identifier is 1497358733, issued on Nov 19, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plymouth, MN. The record was last updated on Apr 17, 2026.