Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Suzanne Gloria Stoltenberg, LICSW

Individual provider Clinical Social Worker · NPI 1194733170

Mrs. Suzanne Gloria Stoltenberg, LICSW is a Clinical Social Worker in Bloomington, Minnesota. Qualified in 1993, 33 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
33
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

9201 Normandale Blvd
Bloomington, MN 55437-1940
Phone: (952) 926-2757
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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 1007 (MN)

Record details

NPI number1194733170
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 4, 2006
Last updated in NPPESMarch 28, 2011

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Not indicated

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