Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lyle Gene Elenkiwich, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1649461245

Lyle Gene Elenkiwich, MSW, LICSW is a Clinical Social Worker in Ham Lake, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
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

2311 146th Ave NE
Ham Lake, MN 55304-6408
Phone: (763) 242-9240
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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 11797 (MN)

Record details

NPI number1649461245
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedAugust 8, 2007
Last updated in NPPESAugust 8, 2007

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