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

Individual provider Clinical Social Worker · NPI 1568686715

Mr. Theodore W Witte, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
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

1491 Sherburne Ave
Saint Paul, MN 55104-2416
Phone: (651) 254-4370
Fax: (651) 251-2190
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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 15341 (MN)

Record details

NPI number1568686715
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 8, 2007

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