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

Mary Carr Slade, LICSW

Individual provider Clinical Social Worker · NPI 1104533520

Mary Carr Slade, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022
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

2120 Park Ave
Minneapolis, MN 55404-3378
Phone: (651) 774-0011
Fax: (651) 774-0606
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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 22057 (MN)

Record details

NPI number1104533520
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 4, 2022
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023

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