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

Elise Broderick Quam, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1891269155

Elise Broderick Quam, MSW, LICSW is a Clinical Social Worker in Eagan, Minnesota. Qualified in 2016, 10 years ago. Practices with Collaborative Counseling LLC, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2019
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

3450 Oleary Ln
Eagan, MN 55123
Phone: (651) 454-0114
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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 25498 (MN)

Record details

NPI number1891269155
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedJanuary 18, 2019
Last updated in NPPESJanuary 18, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Collaborative Counseling Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Eagan