Jessica Widboom, MSW, LICSW
NPI #1104785872 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1104785872
- Entity Type
- Individual
- Name
- Jessica Widboom, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LICSW
- Enumeration Date
- Jan 19, 2026
- Last Updated
- Jan 19, 2026
Practice Location
- Address
- 900 LONG LAKE RD STE 360
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-6428
- Phone
- (612) 900-0233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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