Search › Minnesota › 1041C0700X
Jacquelyn Deecarlo-Omoruyi, LICSW
NPI 1285233965 · on the registry since 2020
Practice
- Address
- 525 Portland Ave # Mc963
Minneapolis, MN 55415 - Phone
- (218) 969-0948
- Fax
- (612) 677-6248
- Organisation at this address
- Hennepin County
Hennepin County
Hennepin CountyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 58
Additional practice sites
- 3333 University Ave Se, Minneapolis, MN
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota