Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Aleiya Marielle Penn, LICSW

Individual provider Clinical Social Worker · NPI 1043174063

MS. Aleiya Marielle Penn, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2025
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

4208 Park Glen Rd
Minneapolis, MN 55416-4758
Phone: (612) 825-4792
Fax: (626) 727-7535
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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 31676 (MN)

Record details

NPI number1043174063
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedDecember 13, 2025
Last updated in NPPESDecember 13, 2025
Certification dateDecember 13, 2025

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