Jennifer Egeland, LICSW
NPI 1083131197ActiveIndividual· Social Worker, Clinical· New Hope, MN
Social Worker, Clinical (LICSW) with Mary Mullenbach PHD LP Inc, practicing in New Hope, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1083131197 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Aug 29, 2017 |
| Last updated in NPPES | Aug 29, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 22565 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Mary Mullenbach PHD LP IncEdina, MN · 17 clinicians
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