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

Marisa Irene Gustafson, LICSW

Individual provider Clinical Social Worker · NPI 1114888443

Marisa Irene Gustafson, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2025
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone: (612) 813-6000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 345 Smith Ave N, Saint Paul, MN 55102-2346 — (651) 220-6000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 26510 (MN)

Record details

NPI number1114888443
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 18, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Other providers in Minneapolis