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

Debra Jean Waite, LICSW

Individual provider Clinical Social Worker · NPI 1023084480

Debra Jean Waite, LICSW is a Clinical Social Worker in Saint Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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 →

Practice location Address checks out

5100 Gamble Dr Ste 100 Mail Stop 31200A
Saint Louis Park, MN 55416-1521
Phone: (952) 593-8777
Fax: (952) 595-6408
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2163 (MN)

Record details

NPI number1023084480
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESJuly 13, 2026

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