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

Justin W Swanson, LICSW

Individual provider Clinical Social Worker · NPI 1053974865

Justin W Swanson, LICSW is a Clinical Social Worker in Mendota Heights, Minnesota. Qualified in 2012, 14 years ago. Practices with Residential Transitions Incorporated, a 2-clinician group. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

750 S Plaza Dr Ste 100
Mendota Heights, MN 55120-1505
Phone: (612) 227-9014
Fax: (651) 455-1385
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 22271 (MN)

Record details

NPI number1053974865
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 17, 2019
Last updated in NPPESApril 17, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Residential Transitions Incorporated — 2 clinicians
Accepts Medicare assignment Not indicated

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