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

Individual provider Clinical Social Worker · NPI 1861737009

Keimi Umezu, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2009, 17 years ago. Practices with St Croix Psychiatric LLC, a 47-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2012
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

800 E 28th Street Wasie 6th Fl
Minneapolis, MN 55407-3723
Phone: (612) 863-5327
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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 19919 (MN)

Record details

NPI number1861737009
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 28, 2012
Last updated in NPPESMay 29, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice St Croix Psychiatric Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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