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MICHAEL DAVID CARLSON MSW, LICSW
NPI 1366110199
Social Worker - Clinical in Mahtomedi, MN

Active since September 06, 2021
410 HALLAM AVE S, MAHTOMEDI, MN 55115(651) 324-2481 Get Directions Write a Review

NPPES record last updated: September 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael David Carlson Msw, Licsw NPPES

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

MICHAEL DAVID CARLSON MSW, LICSW (NPI 1366110199) is an individual clinical provider in Mahtomedi, Minnesota, licensed in Minnesota (19422) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1366110199
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL DAVID CARLSONCredential: MSW, LICSW
Location Address410 HALLAM AVE SMahtomedi, MN 55115-2217
Mailing Address410 Hallam Ave SMahtomedi, MN 55115-2217 · (651) 324-2481
Phone(651) 324-2481
Sole ProprietorYes
Enumeration DateSeptember 6, 2021
NPPES CertifiedSeptember 6, 2021
✔ NPI 1366110199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 19422
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 19422 (MN)
410 HALLAM AVE S, Mahtomedi, MN 55115
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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 Michael Carlson's NPI number?

The NPI number for Michael Carlson is 1366110199. It was assigned to this individual provider in the NPPES registry on September 6, 2021.

Where is Michael Carlson located?

Michael Carlson practices at 410 Hallam Ave S, Mahtomedi, MN 55115. The listed phone number is (651) 324-2481.

What is Michael Carlson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Michael Carlson was last updated on September 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.