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

Nefertiti K Khemet Goudjayi, LCSW, LICSW

Individual provider Social Worker · NPI 1275941775

Nefertiti K Khemet Goudjayi, LCSW, LICSW is a Social Worker in Minneapolis, Minnesota. Licensed in California, Minnesota and Washington. Registered with an NPI since 2014.

Licensed in
CA, MN, WA
In the registry since
2014
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
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

5329 48th Ave S Unit 128
Minneapolis, MN 55417-3701
Phone: (916) 243-5337
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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 102830 (CA)
Social Worker Taxonomy 104100000X · Licence 32064 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 61311533 (WA)

Record details

NPI number1275941775
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LICSW
Sole proprietorNo
NPI enumeratedJuly 28, 2014
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

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