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

Individual provider Clinical Social Worker · NPI 1417965138

Mary Buchta, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

1313 Penn Ave N
Minneapolis, MN 55411-3047
Phone: (612) 302-4600
Fax: (612) 302-4870
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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 10768 (MN)

Record details

NPI number1417965138
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESJuly 9, 2007

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