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

Miram Sarah Itzkowitz, LICSW

Individual provider Clinical Social Worker · NPI 1114158128

Miram Sarah Itzkowitz, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.

Licensed in
MN
In the registry since
2009
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

590 Holly Ave Apt 9
Saint Paul, MN 55102-2264
Phone: (651) 324-5004
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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 18123 (MN)

Record details

NPI number1114158128
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 7, 2009
Last updated in NPPESAugust 7, 2009

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