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

Karin M Nystrom, LICSW

Individual provider Clinical Social Worker · NPI 1396045225

Karin M Nystrom, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Colorado and Minnesota. Registered with an NPI since 2010.

Licensed in
CO, MN
In the registry since
2010
Specialties on file
2
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

2649 Park Ave
Minneapolis, MN 55407-1006
Phone: (612) 676-1604
Fax: (612) 379-8235
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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 20503 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 816 (CO)

Record details

NPI number1396045225
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 26, 2010
Last updated in NPPESOctober 26, 2010

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