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

Susan May Dodge, LICSW

Individual provider Clinical Social Worker · NPI 1447992367

Susan May Dodge, LICSW is a Clinical Social Worker in Brooklyn Park, Minnesota. Qualified in 2014, 12 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2022
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

120 74th Ave N
Brooklyn Park, MN 55444-2699
Phone: (763) 458-0706
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1447992367
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 11, 2022
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brooklyn Park