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

Amy J Moeller, LICSW

Individual provider Social Worker · NPI 1770676173

Amy J Moeller, LICSW is a Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

2425 Chicago Avenue South Childrens Primary Clinic Tams
Minneapolis, MN 55404
Phone: (612) 813-6125
Fax: (612) 872-2338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 00911 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 00911 (MN)

Record details

NPI number1770676173
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 30, 2006
Last updated in NPPESSeptember 11, 2025

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