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

Individual provider Clinical Social Worker · NPI 1831108828

Michael Thomas Mynczywor, LICSW is a Clinical Social Worker in Saint Cloud, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
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

4801 Veterans Dr
Saint Cloud, MN 56303-2015
Phone: (320) 255-6480
Fax: (320) 255-6472
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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 16646 (MN)

Record details

NPI number1831108828
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 7, 2006
Last updated in NPPESJuly 8, 2007

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