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

Individual provider Clinical Social Worker · NPI 1306939947

MS. Sally Sibbitt, LICSW is a Clinical Social Worker in St Louis Park, Minnesota. Qualified in 1976, 50 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Minnesota.

Years since qualifying
50
Licensed in
MN
In the registry since
2006
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

4601 Excelsior Blvd Ste 400
St Louis Park, MN 55416-4977
Phone: (952) 925-3533
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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 2542 (MN)

Record details

NPI number1306939947
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 2, 2006
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 1976 (50 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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