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

Individual provider Clinical Social Worker · NPI 1578617759

Mr. Daniel R Carlson, MDIVMSWLICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 1995, 31 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Minnesota.

Years since qualifying
31
Licensed in
MN
In the registry since
2007
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Practice location Address checks out

1300 Godward St NE Ste 6900
Minneapolis, MN 55413-3002
Phone: (612) 339-3367
Fax: (612) 333-9969
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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 11391 (MN)

Record details

NPI number1578617759
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIVMSWLICSW
Sole proprietorYes
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJuly 18, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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