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

Individual provider Clinical Social Worker · NPI 1780882944

Mary Soule Geidner, LICSW is a Clinical Social Worker in Duluth, Minnesota. Qualified in 1997, 29 years ago. Practices with The Duluth Clinic Ltd, a 1,127-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, Minnesota and Wisconsin.

Years since qualifying
29
Licensed in
IL, MN, WI
In the registry since
2007
Specialties on file
3
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

615 Pecan Ave
Duluth, MN 55811-2749
Phone: (218) 355-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 — (218) 786-3540
  • 3500 Tower Ave, Superior, WI 54880-4491 — (715) 817-7100

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19635 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149008771 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 9526-123 (WI)

Record details

NPI number1780882944
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 10, 2007
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice The Duluth Clinic Ltd — 1127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Duluth