Individual provider · Type 1 NPI

Christina Marie Kelly-Jackels, MSW, LICSW

Clinical Social Worker · Eden Prairie, MN

NPI number 1598096885 Active

Practice location

8455 Flying Cloud Dr
Eden Prairie, MN 55344-3974

Other practice locations

  • 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 · (612) 274-7466

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X18535 (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 1598096885

Christina Marie Kelly-Jackels, MSW, LICSW's National Provider Identifier is 1598096885, issued on Jan 26, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eden Prairie, MN. The record was last updated on May 3, 2019.