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

Individual provider School Social Worker · NPI 1366110199

Michael David Carlson, MSW, LICSW is a School Social Worker in Mahtomedi, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

410 Hallam Ave S
Mahtomedi, MN 55115-2217
Phone: (651) 324-2481
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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 19422 (MN)
School Social Worker Taxonomy 1041S0200X · Licence 19422 (MN)

Record details

NPI number1366110199
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedSeptember 6, 2021
Last updated in NPPESSeptember 6, 2021
Certification dateSeptember 6, 2021