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

Cathryn J Nissen, LICSW

Individual provider Clinical Social Worker · NPI 1760264329

Cathryn J Nissen, LICSW is a Clinical Social Worker in Saint Cloud, Minnesota. Qualified in 2016, 10 years ago. Practices with Central Minnesota Mental Health Center, a 23-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2023
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

1321 13th St N
Saint Cloud, MN 56303-2613
Phone: (320) 339-8546
Fax: (320) 252-0908
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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 25932 (MN)

Record details

NPI number1760264329
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 18, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Central Minnesota Mental Health Center — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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