Jacquelyn Deecarlo-Omoruyi, LICSW
NPI 1285233965 · Clinical Social Worker · Minneapolis, MN
Jacquelyn Deecarlo-Omoruyi, LICSW is a Clinical Social Worker provider in Minneapolis, MN (NPI 1285233965).
Provider details
- NPI number
- 1285233965
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 27320 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3333 University Ave SeMinneapolis, MN 55414-3325Phone: (218) 969-0948
Registry dates
- Enumerated
- 2020-10-22
- Last updated
- 2021-02-12
- Certified
- 2021-02-12
Frequently asked questions
- What is Jacquelyn Deecarlo-Omoruyi's NPI number?
- Jacquelyn Deecarlo-Omoruyi's National Provider Identifier (NPI) is 1285233965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquelyn Deecarlo-Omoruyi's specialty?
- Jacquelyn Deecarlo-Omoruyi is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jacquelyn Deecarlo-Omoruyi located?
- Jacquelyn Deecarlo-Omoruyi's practice location on file with NPPES is 525 Portland Ave # Mc963, Minneapolis, MN 55415-1533.
- What is Jacquelyn Deecarlo-Omoruyi's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn Deecarlo-Omoruyi is (218) 969-0948.
- Is Jacquelyn Deecarlo-Omoruyi's NPI active?
- Yes — Jacquelyn Deecarlo-Omoruyi's NPI (1285233965) is active in the NPPES registry as of the last update on 2021-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.