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MIZUHO YAMAMOTO LICSW
NPI 1821870577
Social Worker - Clinical in Saint Paul, MN

Active since October 17, 2023
2446 UNIVERSITY AVE W STE 104, SAINT PAUL, MN 55114(612) 235-6743(612) 524-5527 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mizuho Yamamoto Licsw NPPES

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

MIZUHO YAMAMOTO LICSW (NPI 1821870577) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (31109) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1821870577
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIZUHO YAMAMOTOCredential: LICSW
Location Address2446 UNIVERSITY AVE W STE 104Saint Paul, MN 55114-1945
Mailing Address2446 University Ave W Ste 104Saint Paul, MN 55114-1945 · (651) 890-2690 · Fax (612) 524-5527
Phone(612) 235-6743
Fax(612) 524-5527
Sole ProprietorNo
Enumeration DateOctober 17, 2023
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1821870577 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 · 31109
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.
2446 UNIVERSITY AVE W STE 104, Saint Paul, MN 55114
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Other Providers at the Same Location NPPES 3

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

TANIA SOTO LPC
Counselor (Professional)
2446 UNIVERSITY AVE W STE 104
SAINT PAUL, MN 55114
Ramsey County (612) 235-6743
CRYSTAL ODEH MSW, LICSW
Social Worker (Clinical)
2446 UNIVERSITY AVE W STE 104
SAINT PAUL, MN 55114
Ramsey County (612) 235-6743
RECLAIM
Clinic/Center (Mental Health (Including Community Mental Health Center))
2446 UNIVERSITY AVE W STE 104
SAINT PAUL, MN 55114
Ramsey County (612) 235-6743

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 Mizuho Yamamoto's NPI number?

The NPI number for Mizuho Yamamoto is 1821870577. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Where is Mizuho Yamamoto located?

Mizuho Yamamoto practices at 2446 University Ave W Ste 104, Saint Paul, MN 55114. The listed phone number is (612) 235-6743.

What is Mizuho Yamamoto'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 Mizuho Yamamoto was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.