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MARIE MARIE ELAINE LICSW
NPI 1083587075
Counselor - Mental Health in Saint Paul, MN

Active since September 25, 2025
2069 WATSON AVE APT 32, SAINT PAUL, MN 55116(952) 393-9660 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marie Marie Elaine Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE MARIE ELAINE LICSW (NPI 1083587075) is an individual mental health provider in Saint Paul, Minnesota, licensed in Minnesota (24782) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1083587075
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARIE MARIE ELAINECredential: LICSW
Location Address2069 WATSON AVE APT 32Saint Paul, MN 55116-1116
Mailing Address2069 Watson Ave Apt 32Saint Paul, MN 55116-1116 · (952) 393-9660
Phone(952) 393-9660
Sole ProprietorYes
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1083587075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 24782
2069 WATSON AVE APT 32, Saint Paul, MN 55116
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marie Elaine's NPI number?

The NPI number for Marie Elaine is 1083587075. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Where is Marie Elaine located?

Marie Elaine practices at 2069 Watson Ave Apt 32, Saint Paul, MN 55116. The listed phone number is (952) 393-9660.

What is Marie Elaine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Marie Elaine was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.