JACQUELYN DEECARLO-OMORUYI (LICSW) – Clinical Social Worker, NPI 1285233965

JACQUELYN DEECARLO-OMORUYI (LICSW) is a healthcare provider. based in Columbia heights, Minnesota. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. 27320 (MN). The NPI Number for JACQUELYN DEECARLO-OMORUYI (LICSW) is 1285233965

Main info

Female
Name
JACQUELYN DEECARLO-OMORUYI (LICSW)
NPI
1285233965
Phone
Not provided
Address
4525 HEIGHTS DR
Enumeration Date
22 October 2020
Last Update Date
12 February 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

Provider Addresses for JACQUELYN DEECARLO-OMORUYI (LICSW)

  • 4525 HEIGHTS DR

    COLUMBIA HEIGHTS, MN 554213321

    Phone:

    Type: Mailing

  • 560 CONCORDIA AVE

    SAINT PAUL, MN 551032443

    Phone: (218) 969-0948

    Type: Location

  • 3333 University Ave SE

    Minneapolis, MN 554143325

    Phone: (218) 969-0948

    Type: Location

  • 525 PORTLAND AVE # MC963

    MINNEAPOLIS, MN 554151533

    Phone: (218) 969-0948

    Fax: (612) 677-6248

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55421)

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Reviews

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Frequently asked questions

How do payers reference JACQUELYN DEECARLO-OMORUYI (LICSW)?
For JACQUELYN DEECARLO-OMORUYI (LICSW), use NPI 1285233965 as the unique 10-digit identifier.
Is there an active status for JACQUELYN DEECARLO-OMORUYI (LICSW)?
For scheduling context, JACQUELYN DEECARLO-OMORUYI (LICSW) is shown as active in the registry.
What clinical focus is listed for JACQUELYN DEECARLO-OMORUYI (LICSW)?
At a glance, JACQUELYN DEECARLO-OMORUYI (LICSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with JACQUELYN DEECARLO-OMORUYI (LICSW)?
Directory geography for JACQUELYN DEECARLO-OMORUYI (LICSW) centers on Columbia Heights, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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