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GARY GOOLSBEE LICSW
NPI 1619990793
Social Worker - Clinical in Forest Lake, MN

Active since July 26, 2006
121 11TH AVE SE, FOREST LAKE, MN 55025(651) 251-5220(651) 251-5279 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary Goolsbee Licsw NPPES

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

GARY GOOLSBEE LICSW (NPI 1619990793) is an individual clinical provider in Forest Lake, Minnesota, licensed in Minnesota (00593) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1619990793
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGARY GOOLSBEECredential: LICSW
Location Address121 11TH AVE SEForest Lake, MN 55025-1850
Mailing Address7066 Stillwater Blvd NOakdale, MN 55128-3937 · (651) 777-5222 · Fax (651) 251-5111
Phone(651) 251-5220
Fax(651) 251-5279
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619990793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 00593
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.
121 11TH AVE SE, Forest Lake, MN 55025
Open in Google Maps ↗

Other Identifiers 5

Other1004398MN · P1
Other62-15995MN · Ubh
Other105133MN · Uc
Other17581MN · Hp
Other5H799GOMN · Bcbs

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANVAS HEALTH, INC.
Counselor (Addiction (Substance Use Disorder))
121 11TH AVE SE
FOREST LAKE, MN 55025
Washington County (651) 251-5220
LOUISA HOLLINSHEAD M.ED, LP
Psychologist
121 11TH AVE SE
FOREST LAKE, MN 55025
Washington County (651) 251-5220
LACEY HAMMOND
Social Worker (Clinical)
121 11TH AVE SE
FOREST LAKE, MN 55025
Washington County (651) 777-5222
DR. DORIS HERR PSY.D., LP
Psychologist (Clinical)
121 11TH AVE SE
FOREST LAKE, MN 55025
Washington County (651) 251-5220

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 Gary Goolsbee's NPI number?

The NPI number for Gary Goolsbee is 1619990793. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Gary Goolsbee located?

Gary Goolsbee practices at 121 11th Ave SE, Forest Lake, MN 55025. The listed phone number is (651) 251-5220.

What is Gary Goolsbee'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 Gary Goolsbee was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.