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

Individual provider Clinical Social Worker · NPI 1215472212

Michelle Sanko, MSW, LICSW is a Clinical Social Worker in Maple Grove, Minnesota. Qualified in 2012, 14 years ago. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2016
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

17039 72nd Ave N
Maple Grove, MN 55311-4564
Phone: (507) 469-2084
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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 22135 (MN)

Record details

NPI number1215472212
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedDecember 29, 2016
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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