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

MS. Marjorie Rita Keyes, LICSW

Individual provider Clinical Social Worker · NPI 1972869527

MS. Marjorie Rita Keyes, LICSW is a Clinical Social Worker in Edina, Minnesota. Qualified in 2003, 23 years ago. Practices with Mary Mullenbach PHD LP Inc, an 18-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2012
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

6550 York Ave S Ste 503
Edina, MN 55435-2336
Phone: (952) 426-3034
Fax: (612) 540-0460
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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 16389 (MN)

Record details

NPI number1972869527
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 9, 2012
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mary Mullenbach Phd Lp Inc — 18 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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