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

Individual provider Clinical Social Worker · NPI 1982648341

Sandra Lee Tazelaar, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
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

1595 Selby Ave
Saint Paul, MN 55104
Phone: (651) 699-6480
Fax: (651) 699-4889
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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 9454 (MN)

Record details

NPI number1982648341
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 16, 2006
Last updated in NPPESNovember 14, 2016

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