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

Individual provider Clinical Social Worker · NPI 1699509737

Mr. Charles Lawrence Platt, LICSW is a Clinical Social Worker in Eagan, Minnesota. Qualified in 2020, 6 years ago. Practices with Eagan Counseling Clinic, a 62-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2024
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

3450 Oleary Ln
Eagan, MN 55123-2340
Phone: (651) 454-0114
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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 29264 (MN)

Record details

NPI number1699509737
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 30, 2024
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Eagan Counseling Clinic — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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