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

Amy Christine Grossman, LICSW

Individual provider Clinical Social Worker · NPI 1104135847

Amy Christine Grossman, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2005, 21 years ago. Licensed in Minnesota.

Years since qualifying
21
Licensed in
MN
In the registry since
2010
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 University Ave E
Saint Paul, MN 55101-2507
Phone: (612) 298-0322
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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 17572 (MN)

Record details

NPI number1104135847
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 29, 2010
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated

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