Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Grant Edward Booth, MSW, LICSW, ACSW

Individual provider Clinical Social Worker · NPI 1972504728

Grant Edward Booth, MSW, LICSW, ACSW is a Clinical Social Worker in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
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

1499 Lincoln Ave
Saint Paul, MN 55105-2236
Phone: (651) 690-1542
Fax: (651) 690-1451
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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 10829 (MN)

Record details

NPI number1972504728
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW , ACSW
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESJuly 13, 2026

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