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OLD GROWTH HEALING LLC
NPI 1659064293
Social Worker - Clinical in Northfield, MN

Active since May 30, 2023
220 DIVISION ST S STE 2, NORTHFIELD, MN 55057(952) 457-3469 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Old Growth Healing Llc NPPES

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

OLD GROWTH HEALING LLC (NPI 1659064293), doing business as Old Growth Healing, is a healthcare organization registered as a clinical in Northfield, Minnesota and active in the NPI registry since May 2023. The organization lists Katie Jacobi, Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1659064293
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameOLD GROWTH HEALING LLC
Location Address220 DIVISION ST S STE 2Northfield, MN 55057-2046
Mailing Address220 Division St SNorthfield, MN 55057-2046 · (952) 457-3469
Phone(952) 457-3469
Organization SubpartNo
Authorized OfficialKatie JacobiOwner/psychotherapist · (952) 457-3469
Enumeration DateMay 30, 2023
NPPES CertifiedMay 30, 2023
✔ NPI 1659064293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
220 DIVISION ST S STE 2, Northfield, MN 55057
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Other Names 1

Doing Business AsOld Growth Healing

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Old Growth Healing LLC's NPI number?

The NPI number for Old Growth Healing LLC is 1659064293. It was assigned to this organization in the NPPES registry on May 30, 2023. The provider is doing business as Old Growth Healing.

Where is Old Growth Healing LLC located?

Old Growth Healing LLC is located at 220 Division St S Ste 2, Northfield, MN 55057. The listed phone number is (952) 457-3469.

What is Old Growth Healing LLC'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 Old Growth Healing LLC was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.