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

Individual provider Clinical Social Worker · NPI 1114065810

MS. Sally Renee Vanerstrom, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2003, 23 years ago. Practices with Poplar Grove Counseling, PLLP, a 2-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2007
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

1919 University Ave W Ste 100
Saint Paul, MN 55104-3479
Phone: (651) 266-7900
Fax: (651) 266-7855
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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 16268 (MN)

Record details

NPI number1114065810
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 2, 2007
Last updated in NPPESJuly 8, 2007

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 Poplar Grove Counseling, Pllp — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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