Individual provider · Type 1 NPI

Jaelyn Richter, LICSW

Clinical Social Worker · Eden Prairie, MN

NPI number 1649943846 Active

Practice location

7700 Equitable Dr
Eden Prairie, MN 55344-3684

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X31299 (MN)
Social Worker 104100000XNone listed

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 1649943846

Jaelyn Richter, LICSW's National Provider Identifier is 1649943846, issued on Jul 26, 2021. 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 Sep 17, 2025.