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

Individual provider Clinical Social Worker · NPI 1033742119

Katherine Carol Logeais Hissam, LICSW is a Clinical Social Worker in Saint Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
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

4801 Veterans Dr
Saint Cloud, MN 56303-2015
Phone: (320) 252-1670
Fax: (320) 255-6328
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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 22416 (MN)

Record details

NPI number1033742119
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 18, 2020
Last updated in NPPESFebruary 18, 2020
Certification dateFebruary 18, 2020

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