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

Individual provider Mental Health Counselor · NPI 1457003451

Ebony Crisp, LICSW is a Mental Health Counselor in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Illinois and Minnesota.

Licensed in
IL, MN
In the registry since
2022
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.

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Practice location Address checks out

3127 33rd Ave S
Minneapolis, MN 55406-2022
Phone: (312) 647-9314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 33018 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 149.024156 (IL)

Record details

NPI number1457003451
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 20, 2022
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

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