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

Individual provider Clinical Social Worker · NPI 1659727659

Mary Lange, LICSW is a Clinical Social Worker in Saint Michael, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2016
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

521 Underwood Ln NW
Saint Michael, MN 55376-1012
Phone: (507) 213-4400
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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 13162 (MN)

Record details

NPI number1659727659
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 9, 2016
Last updated in NPPESMay 9, 2016

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