JACQUELYN DEECARLO-OMORUYI LICSW
NPI 1285233965
Social Worker - Clinical in Minneapolis, MN

NPI Status: Active since October 22, 2020

Contact Information

525 PORTLAND AVE # MC963
MINNEAPOLIS, MN
ZIP 55415
Phone: (218) 969-0948
Fax: (612) 677-6248

Get Directions Reviews

  • Individual
  • Female
  • Social Worker
  • Clinical

About JACQUELYN DEECARLO-OMORUYI

This page provides the complete NPI Profile along with additional information for Jacquelyn Deecarlo-omoruyi, a provider established in Minneapolis, Minnesota with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1285233965 assigned on October 2020. The practitioner's primary taxonomy code is 1041C0700X with license number 27320 (MN). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1285233965
Provider Name
JACQUELYN DEECARLO-OMORUYI LICSW
Gender
Female
Entity Type
Individual
Location Address
525 PORTLAND AVE # MC963 MINNEAPOLIS, MN 55415
Location Phone
(218) 969-0948
Location Fax
(612) 677-6248
Mailing Address
525 PORTLAND AVE # MC963 MINNEAPOLIS, MN 55415
Mailing Phone
(218) 969-0948
Mailing Fax
(612) 677-6248
Is Sole Proprietor?
No
Enumeration Date
10-22-2020
Last Update Date
02-12-2021
Code Navigator

A clinical social worker like Jacquelyn Deecarlo-omoruyi is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Secondary Locations

  • 3333 University Ave SE
    Minneapolis, MN 55414
    (218) 969-0948

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
27320
License State
MN
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285233965
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165436912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 3 + 6 + 9 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1285233965 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982123105 DIMITRIY B ZELIKMAN LICSW
Individual
Social Worker (Clinical)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 636-9268
1619943859 CAROL ELLEN ASCHBACHER CFNP
Individual
Nurse Practitioner (Family)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 348-5553
1124367701 ALISON JEAN JOHNSON PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 990-4152
1346517752 TREANA DANIELLE CRUZ LICSW
Individual
Social Worker (Clinical)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 348-3322
1518463462 DARRIN A KRENZ
Individual
Counselor (Addiction (Substance Use Disorder))525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 348-5553
1073071379MS. SARAH KAY BREYETTE MSW, LICSW
Individual
Social Worker (Clinical)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 596-1223
1861056368 STEPHANIE CORRENTE LICSW
Individual
Social Worker (Clinical)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 384-5580
1427590983 NAOMY MUKTAR ABDURAHMAN DNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 348-5553
1205104494 HALLIE LAUREN OLSON LICSW
Individual
Social Worker (Clinical)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 348-5553
1770831067 ELLEN C THOMPSON APRN
Individual
Nurse Practitioner (Family)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 348-5553
1891339271 SIMONE CHALE FULLER
Individual
Social Worker (Clinical)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 348-3322
1457584443 JOHN LOWE III LICSW, LADC
Individual
Social Worker (Clinical)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 348-5553
1104450071 DOUG MCCARTHY BEUMER LICSW
Individual
Social Worker (Clinical)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 348-2233
1790307601 CHARVAYIA HAWKINS
Individual
Social Worker525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 596-1223
1407402647MS. CYNTHIA EDITH MALDONADO LPCC
Individual
Counselor (Mental Health)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 596-1223
1568063956 NICKIE HANSON LICSW
Individual
Social Worker (Clinical)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 596-1223
1720416142 SUSAN POHL
Individual
Social Worker (Clinical)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 348-5553
1184357097HENNEPIN COUNTY
Organization
Social Worker (Clinical)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 596-1223
1487365862HENNEPIN COUNTY
Organization
Public Health or Welfare525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 543-5555
1609580893 JESSICA STAPLES LICSW
Individual
Social Worker (Clinical)525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
(612) 596-1223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285233965, enumerated in the NPI registry as an "individual" on October 22, 2020

The provider is located at 525 Portland Ave # Mc963 Minneapolis, Mn 55415 and the phone number is (218) 969-0948

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on October 22, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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