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

Blaine Edward Hanson, LICSW

Individual provider Clinical Social Worker · NPI 1194499756

Blaine Edward Hanson, LICSW is a Clinical Social Worker in Brooklyn Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
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

5500 94th Ave N
Brooklyn Park, MN 55443-1992
Phone: (763) 762-8862
Fax: (763) 315-6685
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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 26434 (MN)

Record details

NPI number1194499756
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 5, 2021
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021

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