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

Samantha Nichole Mogen, LICSW

Individual provider Social Worker · NPI 1942990379

Samantha Nichole Mogen, LICSW is a Clinical Social Worker in Andover, Minnesota. Qualified in 2017, 9 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2023
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

15245 Bluebird St NW
Andover, MN 55304-3538
Phone: (763) 587-4200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2621 Greenhaven Rd, Anoka, MN 55303-5566 — (763) 587-4488
  • 530 3rd St Nw, Elk River, MN 55330-1445 — (763) 587-4800

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 22141 (MN)

Record details

NPI number1942990379
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 9, 2023
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Andover