MEDICARE: JESSIE C.W. DALEY 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	22448	MN

General Provider Information

NPI Number	:	1821646316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSIE C.W. DALEY LICSW

Provider Business Mailing Address
First Line	:	4748 CHICAGO AVE STE 9
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-4320
Country	:	US
Telephone Number	:	612-387-9030
Fax Number	:

Provider Business Practice Location Address
First Line	:	4748 CHICAGO AVE STE 9
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-4320
Country	:	US
Telephone Number	:	612-387-9030
Fax Number	:

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

Provider Enumeration Date	:	08/28/2019
Last Update Date	:	08/28/2019

Similar Medicare Providers

1174476311 — CLOUD BREAK PSYCHOTHERAPY LLC
Practice Location Address:

4748 CHICAGO AVE STE 9
MINNEAPOLIS, MN
55407-4320

Practice Phone: 218-839-4225
Practice Fax:

1265921001 — MRS. KENISHA FEARON LMT
Practice Location Address:

4748 CHICAGO AVE STE 8
MINNEAPOLIS, MN
55407-4320

Practice Phone: 646-409-1030
Practice Fax:

1629677422 — TRACY FLANAGAN LEWIS MSW, LICSW
Practice Location Address:

4748 CHICAGO AVE STE 3
MINNEAPOLIS, MN
55407-4320

Practice Phone: 612-599-3407
Practice Fax:

1841964947 — TOGETHER ANXIETY AND OCD TREATMENT LTD
Practice Location Address:

4748 CHICAGO AVE STE 3
MINNEAPOLIS, MN
55407-4320

Practice Phone: 612-599-3407
Practice Fax:

1588318737 — JENNIFER PETERSEN LICSW
Practice Location Address:

4748 CHICAGO AVE STE 4
MINNEAPOLIS, MN
55407-4320

Practice Phone: 612-710-7770
Practice Fax:

1548999865 — LINDA ZONG MOUACHEUPAO DCM
Practice Location Address:

4748 CHICAGO AVE STE 21
MINNEAPOLIS, MN
55407-4320

Practice Phone: 612-361-9160
Practice Fax:

Directions to “ JESSIE C.W. DALEY 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 © 2007-2026 (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.