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

Individual provider Clinical Social Worker · NPI 1568063956

Nickie Hanson, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020
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

525 Portland Ave # MC963
Minneapolis, MN 55415-1533
Phone: (612) 596-1223
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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 15223 (MN)

Record details

NPI number1568063956
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 3, 2020
Last updated in NPPESNovember 3, 2020
Certification dateNovember 3, 2020

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