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

Samuel Douglas St Marie

Individual provider Clinical Social Worker · NPI 1619597192

Samuel Douglas St Marie is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020

Practice location Address checks out

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone: (612) 423-4560
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 21170 (MN)

Record details

NPI number1619597192
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 24, 2020
Last updated in NPPESApril 24, 2020
Certification dateApril 24, 2020

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