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

Tasha Novotny, LICSW

Individual provider Clinical Social Worker · NPI 1689326472

Tasha Novotny, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
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 →

Practice location Address checks out

1422 W Lake St Ste 206
Minneapolis, MN 55408-2616
Phone: (612) 453-3174
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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 19225 (MN)

Record details

NPI number1689326472
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 22, 2022
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

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