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

Leanne Mairs, LICSW

Individual provider Clinical Social Worker · NPI 1053567560

Leanne Mairs, LICSW is a Clinical Social Worker in White Bear Lake, Minnesota. Qualified in 2003, 23 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2008
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

6046 Sargent Ct N
White Bear Lake, MN 55110-1055
Phone: (651) 249-1750
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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 16359 (MN)

Record details

NPI number1053567560
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 15, 2008
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024
Mailing addressPo Box 270773, Vadnais Heights, MN 55127-0773

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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