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

Mason Russell Nordman, LICSW

Individual provider Social Worker · NPI 1679235899

Mason Russell Nordman, LICSW is a Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
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

621 W Lake St Ste 350
Minneapolis, MN 55408-2952
Phone: (612) 979-2276
Fax: (651) 925-0427
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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 29338 (MN)

Record details

NPI number1679235899
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 6, 2021
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

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