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

Evy Christine Hultgren, LICSW

Individual provider Clinical Social Worker · NPI 1104433416

Evy Christine Hultgren, LICSW is a Clinical Social Worker in Mendota Heights, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
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

1370 Mendota Heights Rd
Mendota Heights, MN 55120-1281
Phone: (651) 313-8080
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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 25671 (MN)

Record details

NPI number1104433416
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 30, 2020
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023

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