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

Susan M Dolph, LICSW

Individual provider Clinical Social Worker · NPI 1063065019

Susan M Dolph, LICSW is a Clinical Social Worker in Duluth, Minnesota. Qualified in 1993, 33 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
33
Licensed in
MN, WI
In the registry since
2019
Specialties on file
3
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

5723 Grand Ave Ste 2
Duluth, MN 55807-2567
Phone: (218) 461-6468
Fax: (218) 212-9933
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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 13359 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 9614-123 (WI)
School Social Worker Taxonomy 1041S0200X · Licence 13359 (MN)

Record details

NPI number1063065019
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 18, 2019
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Duluth