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

Elizabeth Samuel, LICSW

Individual provider Clinical Social Worker · NPI 1164281713

Elizabeth Samuel, LICSW is a Clinical Social Worker in Eden Prairie, Minnesota. Practices as a sole proprietor. Licensed in Minnesota and Wisconsin.

Licensed in
MN, WI
In the registry since
2024
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

6442 City West Pkwy Ste 200
Eden Prairie, MN 55344-2809
Phone: (763) 318-2788
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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 11880-123 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 29063 (MN)

Record details

NPI number1164281713
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMarch 18, 2024
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing address6442 City West Pkwy Ste 200, Eden Prairie, MN 55344-2809

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