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

Charissa Jean Bates, LICSW

Individual provider Clinical Social Worker · NPI 1679206908

Charissa Jean Bates, LICSW is a Clinical Social Worker in Woodbury, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8008 Greenbriar Ln
Woodbury, MN 55125-8472
Phone: (507) 259-4788
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 18543 (MN)

Record details

NPI number1679206908
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 5, 2022
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022

Other providers in Woodbury