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

Individual provider Clinical Social Worker · NPI 1629190814

Susan Marie Banal, LICSW is a Clinical Social Worker in St Louis Park, Minnesota. Qualified in 1991, 35 years ago. Practices with Midwest Center for Personal and Family Development, PA, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
35
Licensed in
MN
In the registry since
2007
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

5821 Cedar Lake Rd S
St Louis Park, MN 55416-1487
Phone: (651) 647-1900
Fax: (651) 647-1861
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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 9380 (MN)

Record details

NPI number1629190814
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESApril 19, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Midwest Center For Personal And Family Development, P.A. — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in St Louis Park