Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jackie M Colaizy, LICSW

Individual provider Clinical Social Worker · NPI 1265493167

Jackie M Colaizy, LICSW is a Clinical Social Worker in New Brighton, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112 Not confirmed with CMS for 10 years — call before visiting
Phone: (651) 628-9566
Fax: (651) 628-0411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1727 (MN)

Record details

NPI number1265493167
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 30, 2006
Last updated in NPPESApril 13, 2016

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