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

Grace Phyllis Livermore, LICSW

Individual provider Clinical Social Worker · NPI 1841160470

Grace Phyllis Livermore, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025
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

3033 Excelsior Blvd Ste 10
Minneapolis, MN 55416-5147
Phone: (844) 324-7820
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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 32543 (MN)

Record details

NPI number1841160470
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 8, 2025
Last updated in NPPESNovember 8, 2025
Certification dateNovember 8, 2025

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