Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Julian Sanborn, PHD, LICSW, SEP

Individual provider Clinical Social Worker · NPI 1710507587

Julian Sanborn, PHD, LICSW, SEP is a Clinical Social Worker in St Louis Park, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
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

5353 Wayzata Blvd Ste 202
St Louis Park, MN 55416-1316
Phone: (763) 432-4071
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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 28425 (MN)

Record details

NPI number1710507587
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LICSW , SEP
Sole proprietorYes
NPI enumeratedApril 22, 2020
Last updated in NPPESApril 22, 2020
Certification dateApril 22, 2020

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