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

Molly Young Sheppard, LICSW

Individual provider Clinical Social Worker · NPI 1184092942

Molly Young Sheppard, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2011, 15 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2015
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

2550 University Ave W Ste 216S
Saint Paul, MN 55114-1916
Phone: (952) 993-6200
Fax: (952) 977-1802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1100 Glenwood Ave, Minneapolis, MN 55405-1430 — (612) 871-1454
  • 4544 4th Ave S, Minneapolis, MN 55419-5145 — (763) 591-0100

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 21150 (MN)

Record details

NPI number1184092942
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 10, 2015
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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