Individual provider · Type 1 NPI

Jordan Ann Carlson

Clinical Social Worker · Eden Prairie, MN

NPI number 1629938410 Active

Practice location

9531 W 78th St Ste 220
Eden Prairie, MN 55344-3863

Call (612) 399-6020 Map

Fax (952) 214-7490

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28380 (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 1629938410

Jordan Ann Carlson's National Provider Identifier is 1629938410, issued on Nov 13, 2025. 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 Nov 13, 2025.