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

Individual provider Clinical Social Worker · NPI 1568988392

Michel Levin Rousseau, MSW, LICSW is a Clinical Social Worker in Minnetonka, Minnesota. Qualified in 2014, 12 years ago. Practices with Jewish Family and Children's Service of Minneapolis, a 7-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2017
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

13100 Wayzata Blvd Ste 400
Minnetonka, MN 55305-1821
Phone: (952) 546-0616
Fax: (952) 593-1778
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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 23489 (MN)

Record details

NPI number1568988392
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedAugust 14, 2017
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Jewish Family And Children'S Service Of Minneapolis — 7 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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