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Provider Profile

Jessica Widboom, MSW, LICSW

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At a glance

About Jessica Widboom

Jessica Widboom, MSW, LICSW is a clinical social worker based in New Brighton, MN. The provider's National Provider Identifier (NPI) is 1104785872.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2022

Specialty

Credentials & Licensing

MN licenceAs reported to the NPI registry
No. 31134As reported
NPINational Provider Identifier
1104785872Issued 2026

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jessica Widboom, MSW specialize in?

Jessica Widboom, MSW is a clinical social worker in New Brighton, MN. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jessica Widboom, MSW located?

Jessica Widboom, MSW is listed at 900 Long Lake Rd Ste 360, New Brighton, MN 55112. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jessica Widboom, MSW's phone number?

The number on file is (612) 900-0233. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jessica Widboom, MSW's NPI number?

Jessica Widboom, MSW's National Provider Identifier is 1104785872. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jessica Widboom, MSW train?

Jessica Widboom, MSW attended Other, graduating in 2022. This comes from the CMS National Downloadable File.

CMS public data

How long has Jessica Widboom, MSW been practicing?

Jessica Widboom, MSW has 4 years experience. Calculated from a graduation year of 2022, reported in the CMS National Downloadable File.

CMS public data

Has Jessica Widboom, MSW confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jessica Widboom, MSW. If this is you, claiming it is free.

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