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

Individual provider Clinical Social Worker · NPI 1063579936

MS. Katelyn Mariah, MA, LICSW is a Clinical Social Worker in Brooklyn Park, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

7600 Boone Ave N
Brooklyn Park, MN 55428-4563
Phone: (763) 515-2452
Fax: (763) 515-2442
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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 07301 (MN)

Record details

NPI number1063579936
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LICSW
Sole proprietorYes
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJuly 8, 2007

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