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

Individual provider Clinical Social Worker · NPI 1013158294

MS. Sherie Lou Bosak, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
26
Licensed in
MN
In the registry since
2009
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

821 Raymond Ave #300
Saint Paul, MN 55114-1503
Phone: (651) 645-0438
Fax: (651) 647-0659
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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 4213 (MN)

Record details

NPI number1013158294
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 17, 2009
Last updated in NPPESMarch 17, 2009

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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