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

Ebony Gums, LICSW

Individual provider Clinical Social Worker · NPI 1841800315

Ebony Gums, LICSW is a Clinical Social Worker in Eagan, Minnesota. Licensed in Minnesota and Washington. Registered with an NPI since 2020.

Licensed in
MN, WA
In the registry since
2020
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

1544 Greenwood Ct N
Eagan, MN 55122-1306
Phone: (612) 310-2873
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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 22523 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence SWI.LW.61505637 (WA)

Record details

NPI number1841800315
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 8, 2020
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address1544 Greenwood Ct N, Eagan, MN 55122-1306

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