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

Kelly Ann Tate, LICSW

Individual provider Clinical Social Worker · NPI 1790323756

Kelly Ann Tate, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.

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.

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Practice location Address checks out

401 Harding St NE Ste 100
Minneapolis, MN 55413-2801
Phone: (612) 398-7000
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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 14704 (MN)

Record details

NPI number1790323756
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 20, 2019
Last updated in NPPESDecember 20, 2019
Certification dateDecember 20, 2019

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