Individual provider · NPI-1

Jordan Ann Carlson

Social Worker, Clinical · Eden Prairie, MN

NPI number1629938410
StatusActive
Last updated in NPPESNov 13, 2025

Details

NPI
1629938410
Entity type
Individual (NPI-1)
Name
Jordan Ann Carlson
Sex
Female
Sole proprietor
No
Enumeration date
Nov 13, 2025
Certification date
Nov 13, 2025
Last updated
Nov 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical28380MNYes

Practice location

9531 W 78th St Ste 220
Eden Prairie, MN 55344-3863

Phone 612-399-6020 · Fax 952-214-7490

Mailing address

9531 W 78th St Ste 220
Eden Prairie, MN 55344-3863

Phone 612-399-6020 · Fax 952-214-7490

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