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

Amy Penal Shaleen, LICSW

Individual provider Clinical Social Worker · NPI 1528512274

Amy Penal Shaleen, LICSW is a Clinical Social Worker in Chisago City, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
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

11725 Stinson Ave
Chisago City, MN 55013-9542
Phone: (651) 257-7806
Fax: (651) 257-8852
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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 16482 (MN)

Record details

NPI number1528512274
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 11, 2016
Last updated in NPPESAugust 11, 2016

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