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

Individual provider Clinical Social Worker · NPI 1215318811

Mark Zaczkowski Moorhead, MSW, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015
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

2400 Blaisdell Ave
Minneapolis, MN 55404
Phone: (612) 444-6090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3333 University Ave Se, Minneapolis, MN 55414-3325 — (612) 728-5399

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 22176 (MN)

Record details

NPI number1215318811
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedJune 9, 2015
Last updated in NPPESNovember 20, 2019

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