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

Individual provider Clinical Social Worker · NPI 1538198494

Maryanne Quackenbush, LICSW is a Clinical Social Worker in Duluth, 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

215 N Central Ave
Duluth, MN 55807-2402
Phone: (218) 624-5683
Fax: (218) 624-5736
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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 04051 (MN)

Record details

NPI number1538198494
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 2, 2006
Last updated in NPPESMay 23, 2012

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