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

Megan Hickenbottom, LICSW

Individual provider Clinical Social Worker · NPI 1093277238

Megan Hickenbottom, LICSW is a Clinical Social Worker in Fridley, Minnesota. Graduated from University of Minnesota, Duluth School of Medicine in 2015, 11 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Trained at
University of Minnesota, Duluth School of Medicine
Licensed in
MN
In the registry since
2019
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

520 Osborne Rd NE
Fridley, MN 55432-2718
Phone: (763) 236-7958
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2855 Campus Dr, Plymouth, MN 55441-2649 — (763) 577-7000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 22369 (MN)

Record details

NPI number1093277238
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 5, 2019
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF MINNESOTA, DULUTH SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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