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

Shelly Grant, LICSW

Individual provider Clinical Social Worker · NPI 1073927968

Shelly Grant, LICSW is a Clinical Social Worker in St Louis Park, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2014
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

715 Florida Ave S Ste 307
St Louis Park, MN 55426-1759
Phone: (952) 544-6808
Fax: (952) 545-0098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19593 (MN)

Record details

NPI number1073927968
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 18, 2014
Last updated in NPPESJune 18, 2014

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