Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Dawn Diana Draayer-Thibodeau, LICSW

Individual provider Clinical Social Worker · NPI 1972672087

Mrs. Dawn Diana Draayer-Thibodeau, LICSW is a Clinical Social Worker in St Louis Park, Minnesota. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
28
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
MN
In the registry since
2006
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

4500 Park Glen Rd Ste 155
St Louis Park, MN 55416-4888
Phone: (952) 334-1213
Fax: (952) 928-9774
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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 15185 (MN)

Record details

NPI number1972672087
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 6, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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