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

Individual provider Clinical Social Worker · NPI 1457579427

John O'Brien, LICSW is a Clinical Social Worker in Bloomington, Minnesota. Qualified in 1998, 28 years ago. Practices with Abintra Inc, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
28
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.

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Practice location Address checks out

200 W 98th St Ste 107
Bloomington, MN 55420-4858
Phone: (612) 968-6097
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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 14313 (MN)

Record details

NPI number1457579427
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESNovember 16, 2018
Mailing address200 W 98th St, Ste 107, Bloomington, MN 55420-4858

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Abintra Inc. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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