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

Molly Kay Mitley, LICSW

Individual provider Clinical Social Worker · NPI 1265214050

Molly Kay Mitley, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2016, 10 years ago. Works from 2 locations. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2023
Specialties on file
2
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

525 Portland Ave # MC963
Minneapolis, MN 55415-1533
Phone: (612) 596-1223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4820 W 77th St Ste 130, Edina, MN 55435-4832 — (651) 313-8080

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Clinical Social Worker Taxonomy 1041C0700X · Licence 25754 (MN)

Record details

NPI number1265214050
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 17, 2023
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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