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

Heather Glenn Macleod, LICSW

Individual provider Clinical Social Worker · NPI 1356834428

Heather Glenn Macleod, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 1996, 30 years ago. Practices with Lyn-Lake Psychotherapy and Wellness Ltd, a 72-clinician group and works from 3 locations. Licensed in Alabama and Minnesota.

Years since qualifying
30
Licensed in
AL, MN
In the registry since
2018
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

6133 11th Ave S
Minneapolis, MN 55417-3207
Phone: (612) 324-7183
Fax: (612) 445-8255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2617 7th St, Tuscaloosa, AL 35401-1803 — (205) 860-5113
  • 621 W Lake St Ste 350, Minneapolis, MN 55408-2952 — (612) 324-7183

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11145 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 3857C-S (AL)

Record details

NPI number1356834428
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 12, 2018
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Lyn-Lake Psychotherapy And Wellness Ltd — 72 clinicians
Accepts Medicare assignment Not indicated

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