Individual provider · Type 1 NPI

Jessica Thull, LICSW

Clinical Social Worker · New Hope, MN

NPI number 1831094994 Active

Practice location

5555 Boone Ave N
New Hope, MN 55428-3636

Mailing address

3000 Ames Crossing Rd Ste 600
Eagan, MN 55121-2570

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X18715 (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 1831094994

Jessica Thull, LICSW's National Provider Identifier is 1831094994, issued on Oct 9, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Hope, MN. The record was last updated on Oct 9, 2026.