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

MS. Charlene Marie Hanisch Theisen, MSLICSW

Individual provider Social Worker · NPI 1437195641

MS. Charlene Marie Hanisch Theisen, MSLICSW is a Social Worker in Saint Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2

Practice location Address checks out

850 1st Ave S
Saint Cloud, MN 56301-4498
Phone: (320) 308-3171
Fax: (320) 308-0959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X · Licence 12147 (MN)

Record details

NPI number1437195641
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSLICSW
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESApril 16, 2025
Certification dateApril 9, 2025

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