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

MS. Mary Joanne Ethen, LICSW

Individual provider Clinical Social Worker · NPI 1619138633

MS. Mary Joanne Ethen, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

69 Exchange St W
Saint Paul, MN 55102-1004
Phone: (651) 326-3675
Fax: (651) 232-3494
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 17361 (MN)

Record details

NPI number1619138633
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 23, 2008
Last updated in NPPESJune 23, 2008

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