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

Individual provider Clinical Social Worker · NPI 1164081162

Sandra L Vidotto, LICSW is a Clinical Social Worker in Mankato, Minnesota. Practices as a sole proprietor. Licensed in Minnesota and Wisconsin.

Licensed in
MN, WI
In the registry since
2019
Specialties on file
2
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) 594-5761
Fax: (507) 594-5797
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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 23224 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 8876-123 (WI)

Record details

NPI number1164081162
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 12, 2019
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

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