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

Shane O'Leary, LICSW

Individual provider School Social Worker · NPI 1588510804

Shane O'Leary, LICSW is a School Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026
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

1607 51st Ave N
Minneapolis, MN 55430-3433
Phone: (612) 668-1640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Social Worker (primary) Taxonomy 1041S0200X · Licence 31123 (MN)

Record details

NPI number1588510804
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

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