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

Lindsay Nicole Hanenburg, LICSW

Individual provider Clinical Social Worker · NPI 1316759780

Lindsay Nicole Hanenburg, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2019, 7 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2025
Specialties on file
2
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

12555 University Ave NE
Minneapolis, MN 55434-2108
Phone: (763) 506-6610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13603 80th Cir N, Maple Grove, MN 55369-8961 — (763) 274-3120

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 28200 (MN)
School Social Worker Taxonomy 1041S0200X · Licence 1006855 (MN)

Record details

NPI number1316759780
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 23, 2025
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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