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

Diem Thi Kim Hong Cao, LICSW, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376903187

Diem Thi Kim Hong Cao, LICSW, LADC is a Clinical Social Worker in Maplewood, Minnesota. Qualified in 2011, 15 years ago. Practices with Grand Rapids Counseling Services, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2016
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

2785 White Bear Ave N Suit 403
Maplewood, MN 55109-1307
Phone: (651) 454-0114
Fax: (651) 454-3492
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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 21938 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 304113 (MN)

Record details

NPI number1376903187
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LADC
Sole proprietorNo
NPI enumeratedMarch 7, 2016
Last updated in NPPESMarch 7, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Grand Rapids Counseling Services — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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