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

Individual provider Clinical Social Worker · NPI 1578661419

John Reilly, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
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

4123 E Lake St
Minneapolis, MN 55406-2255
Phone: (612) 728-2061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1121 E 46th St, Minneapolis, MN 55407-3562 — (612) 827-9304

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 788 (MN)

Record details

NPI number1578661419
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJuly 21, 2022

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