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JACKIE M COLAIZY LICSW
NPI 1265493167
Social Worker - Clinical in New Brighton, MN

Active since March 30, 2006
1900 SILVER LAKE ROAD NW, SUITE 110, NEW BRIGHTON, MN 55112(651) 628-9566(651) 628-0411 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie M Colaizy Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE M COLAIZY LICSW (NPI 1265493167) is an individual clinical provider in New Brighton, Minnesota, licensed in Minnesota (1727) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1265493167
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACKIE M COLAIZYCredential: LICSW
Location Address1900 SILVER LAKE ROAD NW, SUITE 110New Brighton, MN 55112
Mailing Address1900 Silver Lake Road Nw, Suite 110New Brighton, MN 55112 · (651) 379-1718 · Fax (651) 379-1738
Phone(651) 628-9566
Fax(651) 628-0411
Sole ProprietorNo
Enumeration DateMarch 30, 2006
Last NPPES UpdateApril 13, 2016
✔ NPI 1265493167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 1727
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1900 SILVER LAKE ROAD NW, New Brighton, MN 55112
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Other Names 1

Former Name (1)Jackie M Wilm Licsw

Other Identifiers 1

Medicaid320477400MN

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KAULA MARIE RYKS MA, LPCC
Counselor (Professional)
1900 SILVER LAKE ROAD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 379-1718
NADIA FISCHER-DANZEISEN LADC
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE ROAD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
MATTHEW RUPP LADC
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE ROAD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 379-1718
MR. CHRIS WALLIN L.P.
Psychologist (Clinical)
1900 SILVER LAKE ROAD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
ERIC SHEDD LADC
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE ROAD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
MS. MARY ELIZABETH BECKER L.P.C.C.
Counselor (Professional)
1900 SILVER LAKE ROAD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
RUSSELL ROBBINS LADC
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE ROAD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
KATIE HERMERDING MA
Marriage & Family Therapist
1900 SILVER LAKE ROAD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Colaizy's NPI number?

The NPI number for Jackie Colaizy is 1265493167. It was assigned to this individual provider in the NPPES registry on March 30, 2006. The provider is also known as Jackie M Wilm Licsw.

Where is Jackie Colaizy located?

Jackie Colaizy practices at 1900 Silver Lake Road NW Suite 110, New Brighton, MN 55112. The listed phone number is (651) 628-9566.

What is Jackie Colaizy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jackie Colaizy was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.