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

Individual provider Clinical Social Worker · NPI 1750904439

Nicole Anne Mukanda, MSW, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
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

1825 Chicago Ave
Minneapolis, MN 55404-1939
Phone: (612) 752-8200
Fax: (612) 752-8201
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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 22890 (MN)

Record details

NPI number1750904439
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedMay 28, 2020
Last updated in NPPESMay 28, 2020
Certification dateMay 28, 2020

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