Jacqueline Therese Kobliska
Individual provider Active NPI Clinical Social Worker · Staples, MN
NPI 1922711399 · NPPES record last updated Mar 25, 2026
Key facts
- NPI
- 1922711399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 77486 (MN)
- Practice address
- 121 4TH St NE
Staples, MN 56479-2545 - Phone
- (320) 905-4345
- Fax
- (507) 218-8492
- NPI assigned
- Jan 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 77486 | MN | Yes |
Addresses
Primary practice location
121 4TH St NE
Staples, MN 56479-2545
Mailing address
121 4TH St NE
Staples, MN 56479-2545
Phone (320) 905-4345
Other providers in Staples, MN
- Barbara Kaneski I
- Brita Rose Karolus
- Olivia Kastello
- Tyler Kline
- Joshua John Klous
- Stephanie Jo Kray
- Ryan M Kroll
- Lakewood Health System
- Lakewood Health System
- Lakewood Health System
All providers in Staples, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.