JACQUELYN DEECARLO-OMORUYI LICSW - NPI 1285233965 - Social Worker in Minneapolis, MN

Q: What is Jacquelyn Deecarlo-omoruyi's NPI number?

The NPI number for Jacquelyn Deecarlo-omoruyi is 1285233965. It was assigned to this individual provider in the NPPES registry on October 22, 2020.

Q: What is Jacquelyn Deecarlo-omoruyi's specialty?

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

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About Jacquelyn Deecarlo-omoruyi Licsw NPPES

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

JACQUELYN DEECARLO-OMORUYI LICSW (NPI 1285233965) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (27320) and active in the NPI registry since October 2020. She maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1285233965

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJACQUELYN DEECARLO-OMORUYICredential: LICSW

Location Address525 PORTLAND AVE # MC963Minneapolis, MN 55415-1533

Mailing Address525 Portland Ave # Mc963Minneapolis, MN 55415-1533 · (218) 969-0948 · Fax (612) 677-6248

Phone(218) 969-0948

Fax(612) 677-6248

Sole ProprietorNo

Enumeration DateOctober 22, 2020

Last NPPES UpdateFebruary 12, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2021

✔ NPI 1285233965 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 · 27320

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.

525 PORTLAND AVE # MC963, Minneapolis, MN 55415

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Secondary Practice Location 1

Location 13333 University Ave SEMinneapolis, MN 55414-3325 · Phone (218) 969-0948

Other Providers at the Same Location NPPES 20

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

THOMAS MCCARTHY JR.

Counselor (Mental Health)