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

Mary Ellen Louise Vidovic, LICSW

Individual provider Social Worker · NPI 1881792174

Mary Ellen Louise Vidovic, LICSW is a Social Worker in White Bear Lake, 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.

See every abbreviation used in this directory →

Practice location Address checks out

1310 Highway 96 E Ste 200
White Bear Lake, MN 55110-3624
Phone: (651) 426-3071
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 9587 (MN)

Record details

NPI number1881792174
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESApril 10, 2008

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