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

Mizuho Yamamoto, LICSW

Individual provider Clinical Social Worker · NPI 1821870577

Mizuho Yamamoto, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
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

2446 University Ave W Ste 104
Saint Paul, MN 55114-1945
Phone: (612) 235-6743
Fax: (612) 524-5527
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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 31109 (MN)

Record details

NPI number1821870577
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 17, 2023
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

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