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

Individual provider Clinical Social Worker · NPI 1659526622

Susan Ann Dustin, LICSW is a Clinical Social Worker in Eagan, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2008
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

4655 Nicols Rd Ste 206
Eagan, MN 55122-3425
Phone: (952) 936-2800
Fax: (651) 405-0358
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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 7722 (MN)

Record details

NPI number1659526622
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 18, 2008
Last updated in NPPESNovember 18, 2008

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