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

Carolyn Sarah Menger, LICSW

Individual provider Clinical Social Worker · NPI 1063175735

Carolyn Sarah Menger, LICSW is a Clinical Social Worker in Fridley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
Specialties on file
3
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

1250 Moore Lake Dr E Ste 152
Fridley, MN 55432-5135
Phone: (612) 389-2332
Fax: (612) 389-2338
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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 29946 (MN)
Clinical Social Worker Taxonomy 1041C0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063175735
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 19, 2021
Last updated in NPPESApril 14, 2024
Certification dateApril 14, 2024

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