Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariya Javed-Payne, LICSW, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063984474

Mariya Javed-Payne, LICSW, LADC is an Addiction (Substance Use Disorder) Counselor in Eden Prairie, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2018
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.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

9300 Hennepin Town Rd Ste 110
Eden Prairie, MN 55347-3072
Phone: (763) 232-4694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1026 7th St W, Saint Paul, MN 55102-3828 — (651) 241-1000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 22773 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (MN)

Record details

NPI number1063984474
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LADC
Sole proprietorNo
NPI enumeratedDecember 24, 2018
Last updated in NPPESJanuary 17, 2023
Certification dateOctober 4, 2022

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