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

Individual provider Clinical Social Worker · NPI 1912425158

Michelle R. Mandell-Paulson, LICSW is a Clinical Social Worker in Champlin, Minnesota. Qualified in 2004, 22 years ago. Practices with North Psychology Clinic PA, a 5-clinician group. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2017
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

11165 Zealand Ave N
Champlin, MN 55316-3595
Phone: (763) 531-0566
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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 13758 (MN)

Record details

NPI number1912425158
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 8, 2017
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice North Psychology Clinic Pa — 5 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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