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

Individual provider Clinical Social Worker · NPI 1417320052

Nichelle Dillon, MSW, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2012, 14 years ago. Practices as a sole proprietor.

Years since qualifying
14
In the registry since
2015
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

5123 W 98th St Ste 1072
Minneapolis, MN 55437-2040
Phone: (612) 263-7880
Fax: (779) 201-7798
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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

Record details

NPI number1417320052
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedNovember 4, 2015
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

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