Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Lauren Grace Ivester Tetrault, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1871285585

Lauren Grace Ivester Tetrault, MSW, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

310 Clifton Ave
Minneapolis, MN 55403-3218
Phone: (612) 223-8898
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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 33540 (MN)

Record details

NPI number1871285585
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESSeptember 7, 2026
Certification dateSeptember 7, 2026

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