Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Colette Rose Neron Ellenbecker, LICSW

Individual provider Clinical Social Worker · NPI 1912267287

Colette Rose Neron Ellenbecker, LICSW is a Clinical Social Worker in Saint Cloud, Minnesota. Qualified in 2009, 17 years ago. Practices with Family Support Services Inc, a 10-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2012
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

3701 12th St N Ste 203
Saint Cloud, MN 56303-2255
Phone: (218) 631-5993
Fax: (218) 631-7043
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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 10224 (MN)

Record details

NPI number1912267287
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 21, 2012
Last updated in NPPESMay 20, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Family Support Services Inc — 10 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Saint Cloud