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MS. CHARLENE MARIE HANISCH THEISEN MS LICSW
NPI 1437195641
Social Worker - Clinical in Saint Cloud, MN

Active since June 22, 2006
850 1ST AVE SOUTH, SAINT CLOUD, MN 56301(320) 308-3171(320) 308-0959 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Charlene Marie Hanisch Theisen Ms Licsw NPPES

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

MS. CHARLENE MARIE HANISCH THEISEN MS LICSW (NPI 1437195641) is an individual clinical provider in Saint Cloud, Minnesota and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1437195641
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CHARLENE MARIE HANISCH THEISENCredential: MS LICSW
Location Address850 1ST AVE SOUTHSaint Cloud, MN 56301-4498
Mailing Address720 4th Ave SSaint Cloud, MN 56301-4498 · (320) 308-3171 · Fax (320) 308-0959
Phone(320) 308-3171
Fax(320) 308-0959
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1437195641 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
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 WorkerTaxonomy 104100000X · License 12147 (MN)
850 1ST AVE SOUTH, Saint Cloud, MN 56301
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Other Names 1

Former Name (1)Charlene Marie Carroll Hanisch Ms Licsw

Other Identifiers 6

Other49F67CABcbs
Medicaid796113800MN
Other6256246Medica
Other922241027913Preferred One
OtherHP33738Health Partners
Other151607C851Ucare

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 Charlene Hanisch Theisen's NPI number?

The NPI number for Charlene Hanisch Theisen is 1437195641. It was assigned to this individual provider in the NPPES registry on June 22, 2006. The provider is also known as Charlene Marie Carroll Hanisch Ms Licsw.

Where is Charlene Hanisch Theisen located?

Charlene Hanisch Theisen practices at 850 1st Ave South, Saint Cloud, MN 56301. The listed phone number is (320) 308-3171.

What is Charlene Hanisch Theisen'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 Charlene Hanisch Theisen was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.