Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Dorothy Carmelite Enockson Sr., LICSW

Individual provider Clinical Social Worker · NPI 1093857351

Mrs. Dorothy Carmelite Enockson Sr., LICSW is a Clinical Social Worker in White Bear Lake, Minnesota. Qualified in 1977, 49 years ago. Practices with North Memorial Health Care, a 506-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
49
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

4901 Johnson Ave
White Bear Lake, MN 55110-2622
Phone: (651) 426-6374
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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 1508 (MN)

Record details

NPI number1093857351
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 13, 2007
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 schoolOTHER
Graduated 1977 (49 years in practice)
Group practice North Memorial Health Care — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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