MEDICARE: JENNIFER M CARLSON MSW, LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	10227	MN

General Provider Information

NPI Number	:	1205790862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER M CARLSON MSW, LICSW

Provider Business Mailing Address
First Line	:	2215 E LAKE ST FL 5
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-4385
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2215 E LAKE ST FL 5
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-4385
Country	:	US
Telephone Number	:	612-596-9438
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

Similar Medicare Providers

1518905405 — NDIDIAMAKA KOKA M.D.
Practice Location Address:

2215 E LAKE ST STE 500
MINNEAPOLIS, MN
55407-4385

Practice Phone: 612-873-6963
Practice Fax: 612-276-0188

1669481040 — MARIA KAEFER MD
Practice Location Address:

2215 E LAKE ST STE 500
MINNEAPOLIS, MN
55407-4385

Practice Phone: 612-873-6963
Practice Fax: 612-276-0188

1780790345 — HENNEPIN COUNTY
Practice Location Address:

2215 E LAKE ST
MINNEAPOLIS, MN
55407-4385

Practice Phone: 612-596-9438
Practice Fax: 612-329-4500

1588891162 — DR. ANALISA MARIA CALDERON MD
Practice Location Address:

2215 E LAKE ST STE 500
MINNEAPOLIS, MN
55407-4385

Practice Phone: 612-873-6963
Practice Fax:

1528384237 — KRISTEN DEANN SUTLEY M.D.
Practice Location Address:

2215 E LAKE ST FL 5
MINNEAPOLIS, MN
55407-4385

Practice Phone: 612-596-9438
Practice Fax:

1497067938 — JANA LEIGH WOLD PHARMD
Practice Location Address:

2215 E LAKE ST
MINNEAPOLIS, MN
55407-4385

Practice Phone: 612-596-0892
Practice Fax:

Directions to “ JENNIFER M CARLSON MSW, LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.