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

Nicole Kristina Lidstrom, LICSW

Individual provider Clinical Social Worker · NPI 1033947601

Nicole Kristina Lidstrom, LICSW is a Clinical Social Worker in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2024.

Licensed in
MN
In the registry since
2024
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

1025 Marsh St
Mankato, MN 56001-4752
Phone: (507) 594-2468
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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 26622 (MN)

Record details

NPI number1033947601
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 24, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

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