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

Timothy Scott, LICSW

Individual provider Clinical Social Worker · NPI 1548304850

Timothy Scott, LICSW is a Clinical Social Worker in Maplewood, Minnesota. Qualified in 1991, 35 years ago. Practices with Northeast Counseling, PA, a 4-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

2127 County Road D E Ste A100
Maplewood, MN 55109-5350
Phone: (651) 592-1592
Fax: (651) 429-2988
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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 8472 (MN)

Record details

NPI number1548304850
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 19, 2007
Last updated in NPPESApril 5, 2018
Mailing address2127 County Road D E Ste A100, Maplewood, MN 55109-5350

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 Northeast Counseling, P.A. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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