Healthcare Provider Details

I. General information

NPI: 1922932714
Provider Name (Legal Business Name): JARED ROBERT SABIN MSW, LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 CHANDLER AVE
EVELETH MN
55734-1675
US

IV. Provider business mailing address

227 MCKINLEY AVE
EVELETH MN
55734-1606
US

V. Phone/Fax

Practice location:
  • Phone: 218-780-9499
  • Fax: 218-389-7891
Mailing address:
  • Phone: 218-780-9499
  • Fax: 218-389-7891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number32141
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: