Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Patrice Kuusisto-Lathrop, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1275699381

Amy Patrice Kuusisto-Lathrop, MSW, LICSW is a Clinical Social Worker in Brooklyn Center, Minnesota. Qualified in 2001, 25 years ago. Practices with Ramsey County Mental Health Center, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
25
Licensed in
MN
In the registry since
2006
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

6200 Shingle Creek Pkwy Ste 350
Brooklyn Center, MN 55430-2155
Phone: (763) 503-8560
Fax: (763) 503-8563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1919 University Ave W, Saint Paul, MN 55104-3453 — (651) 266-7900

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10798 (MN)

Record details

NPI number1275699381
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedDecember 31, 2006
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Ramsey County Mental Health Center — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brooklyn Center