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

Individual provider Clinical Social Worker · NPI 1770345076

Maisa Boyte, LICSW is a Clinical Social Worker in St Louis Park, Minnesota. Qualified in 2021, 5 years ago. Practices with Cgc LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2024
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

4208 Park Glen Rd
St Louis Park, MN 55416-4758
Phone: (605) 270-9348
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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 30153 (MN)

Record details

NPI number1770345076
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 23, 2024
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024
Mailing address2193 Cedar Ln, Mound, MN 55364-1513

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cgc Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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