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

Individual provider Clinical Social Worker · NPI 1740505593

Michelle Marie Dubois, LICSW is a Clinical Social Worker in Minnetonka, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2010
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

12601 Ridgedale Dr
Minnetonka, MN 55305-1908
Phone: (612) 296-7495
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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 17284 (MN)

Record details

NPI number1740505593
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 5, 2010
Last updated in NPPESApril 5, 2010

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