About
Christina Marie Kelly-Jackels is a Clinical Social Worker in Eden Prairie, Minnesota. She graduated in 2007. She has over 14 years of experience. She is affiliated with Park Nicollet Health Care Products. Christina M. Kelly-Jackels is a group member of Park Nicollet Clinic. Contact Christina Marie Kelly-Jackels to request her Medicare information, payment methods she accepts, or to book an appointment.
Basic Data
PECOS ID: 6507998408
Entity Type: Individual; Not Sole Proprietor
Accepts Med Assignment: She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.
Organization Name: Park Nicollet Health Care Products
Gender
Female
Years in Practice
14 years
Healthcare Provider Taxonomy
- Code: 1041C0700X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Social Worker
- Specialization: Clinical
Credentials
- Master of Social Work (MSW)
- Licensed Independent Clinical Social Worker (LICSW)
HCPCS Codes
Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.
| Code | Code Description | Service Count | Beneficiary Count |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 13 | 13 |
| 90834 | Psychotherapy, 45 minutes | 149 | 15 |
Group Practices
Group practices this therapist belongs to includes:
| Park Nicollet Clinic | |
|---|---|
| Address | 8455 Flying Cloud Dr |
| Eden Prairie, MN 55344-3974 | |
| Group PAC ID | 7911819438 |
| Group Members | 1476 |
| Park Nicollet Clinic | |
|---|---|
| Address | 5320 Hyland Greens Dr |
| Bloomington, MN 55437-3934 | |
| Group PAC ID | 7911819438 |
| Group Members | 1476 |
Licenses
| Name | License Number | State |
|---|---|---|
| LICSW | 18535 Verify | MN |
Education
| Year Graduated |
|---|
| 2007 |
Practice Locations
8455 Flying Cloud Dr
Eden Prairie, MN 55344-3974
Phone Number: (952) 993-7400
Therapists Near Eden Prairie, MN
Master of Social Work (MSW)
Licensed Graduate Social Worker (LGSW)
Master of Science (MS)
Licensed Professional Counselor (LPC)