Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elizabeth Leslie Wittenberg, JD, LICSW

Individual provider Clinical Social Worker · NPI 1700104130

Elizabeth Leslie Wittenberg, JD, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2010
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

3108 Hennepin Ave S
Minneapolis, MN 55408-2619
Phone: (612) 824-0802
Fax: (612) 825-1504
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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 18591 (MN)

Record details

NPI number1700104130
Entity typeIndividual (Type 1)
GenderFemale
Credentials JD , LICSW
Sole proprietorYes
NPI enumeratedMay 10, 2010
Last updated in NPPESOctober 21, 2010

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