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

Gwen Marie Millam, LICSW

Individual provider Clinical Social Worker · NPI 1518162254

Gwen Marie Millam, LICSW is a Clinical Social Worker in Minnetonka, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11812 Wayzata Blvd Ste 212
Minnetonka, MN 55305-2012
Phone: (612) 251-5795
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16697 (MN)

Record details

NPI number1518162254
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 20, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Minnetonka