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

Individual provider Clinical Social Worker · NPI 1881678928

Maureen Tanis, LICSW is a Clinical Social Worker in Shakopee, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2005
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

1415 Saint Francis Ave
Shakopee, MN 55379-3374
Phone: (952) 993-7750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Martin Luther King Dr, Mankato, MN 56001-6460 — (507) 385-6500

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8690 (MN)

Record details

NPI number1881678928
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 2, 2005
Last updated in NPPESMarch 17, 2018

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