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

Individual provider Clinical Social Worker · NPI 1376534214

Douglas Alan Drew, MA, LICSW is a Clinical Social Worker in Blaine, Minnesota. Qualified in 1981, 45 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
45
Licensed in
MN
In the registry since
2005
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

10190 Baltimore St NE Ste 110
Blaine, MN 55449-5056
Phone: (763) 755-7612
Fax: (763) 775-2048
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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 7998 (MN)

Record details

NPI number1376534214
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LICSW
Sole proprietorYes
NPI enumeratedOctober 31, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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