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

Sarah Underdahl, LICSW

Individual provider Clinical Social Worker · NPI 1093301715

Sarah Underdahl, LICSW is a Clinical Social Worker in Shakopee, Minnesota. Qualified in 2018, 8 years ago. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2020
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

200 4th Ave W Ste 300
Shakopee, MN 55379-1220
Phone: (952) 496-8457
Fax: (952) 496-8355
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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 22657 (MN)

Record details

NPI number1093301715
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 16, 2020
Last updated in NPPESDecember 16, 2020
Certification dateDecember 16, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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