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

Matthew Iwata, LICSW

Individual provider Clinical Social Worker · NPI 1518670371

Matthew Iwata, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1060 Grand Ave Unit 211
Saint Paul, MN 55105-3820
Phone: (612) 208-2865
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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 24616 (MN)

Record details

NPI number1518670371
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 26, 2022
Last updated in NPPESDecember 26, 2022
Certification dateDecember 26, 2022

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