Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Graham, LICSW

Individual provider Social Worker · NPI 1407487523

Amanda Graham, LICSW is a Social Worker in Rochester, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 21348 (MN)
Social Worker Taxonomy 104100000X · Licence 21348 (MN)

Record details

NPI number1407487523
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 28, 2020
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing addressPo Box 860912, Minneapolis, MN 55486-0912

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