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

Jerry Blume, LICSW

Individual provider Cognitive & Behavioral Psychologist · NPI 1518067701

Jerry Blume, LICSW is a Cognitive & Behavioral Psychologist in Burnsville, 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.

See every abbreviation used in this directory →

Practice location Address checks out

1523 Highway 13 E
Burnsville, MN 55337-2917
Phone: (952) 894-4828
Fax: (952) 894-3737
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence LICSW12647 (MN)

Record details

NPI number1518067701
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJuly 9, 2007

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