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

Individual provider Clinical Social Worker · NPI 1417124256

Janet Ellen Bystrom Micek, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2005, 21 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
21
Licensed in
MN
In the registry since
2008
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

730 E 38th St Ste 200
Minneapolis, MN 55407-5235
Phone: (612) 567-3643
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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 17409 (MN)

Record details

NPI number1417124256
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 12, 2008
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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