Individual provider · Type 1 NPI

Jack Lofgren

Clinical Social Worker · Minneapolis, MN

NPI number 1760269161 Active

Practice location

4001 W 102nd St
Minneapolis, MN 55437-2602

Call (320) 309-4694 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X25292 (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 1760269161

Jack Lofgren's National Provider Identifier is 1760269161, issued on Sep 11, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 4, 2026.