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

Individual provider Clinical Social Worker · NPI 1851818819

Samuel James Anderson, MSW, LICSW is a Clinical Social Worker in Golden Valley, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017
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

620 Mendelssohn Ave N Ste 156
Golden Valley, MN 55427-4386
Phone: (612) 481-4049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6600 France Ave S, Edina, MN 55435-1805 — (952) 460-9059

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 24060 (MN)

Record details

NPI number1851818819
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedAugust 29, 2017
Last updated in NPPESJuly 21, 2022
Certification dateDecember 29, 2021

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