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

Mary Kay Niessen, LICSW

Individual provider Social Worker · NPI 1356404958

Mary Kay Niessen, LICSW is a Social Worker in Sartell, 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

211 2nd Ave N
Sartell, MN 56377-1728
Phone: (320) 253-8940
Fax: (320) 253-1846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 10428 (MN)

Record details

NPI number1356404958
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESJuly 8, 2007

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