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

Individual provider Clinical Social Worker · NPI 1962654350

MS. Teresa L Largaespada, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in Minnesota and Wisconsin.

Years since qualifying
21
Licensed in
MN, WI
In the registry since
2008
Specialties on file
3
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

1585 Blair Ave
Saint Paul, MN 55104
Phone: (612) 423-8231
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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 4430 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 3044 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 7515-123 (WI)

Record details

NPI number1962654350
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 16, 2008
Last updated in NPPESMay 21, 2009

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated

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