ANDREA SUZANNE JAGUSCH LICSW NPI 1861736878

NPI Information

  • NPI: 1861736878
  • Provider Name: ANDREA SUZANNE JAGUSCH, LICSW
  • Classification: Social Worker - 1041S0200X
  • Specialization: School
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1575 BEAM AVE
    MAPLEWOOD, MN
    ZIP 55109
  • Phone: (651) 326-7662

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NPI Details

Andrea Suzanne Jagusch, LICSW is a school social worker in Maplewood, MN. Andrea Suzanne Jagusch, LICSW NPI is 1861736878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1575 BEAM AVE
MAPLEWOOD, MN
ZIP 55109-126
Phone: (651) 326-7662

The NPI 1861736878 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical19881MINNESOTANo
21041S0200XSocial WorkerSchool465089MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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