DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL DAVID CARLSON, MSW, LICSW

Active Sole Proprietor

MICHAEL DAVID CARLSON, MSW, LICSW is a Clinical Social Worker healthcare provider located in MAHTOMEDI, Minnesota. NPI 1366110199 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MAHTOMEDI, MN

Registration Details

NPI Number
1366110199
Provider Type
Individual
Gender
Male
NPI Issued
Sep 6, 2021 (4.8976280253902 yrs)
Last Updated
Sep 6, 2021
Licenses
19422 (MN)
19422 (MN)
Sole Proprietor
Yes

Practice Information

Address
410 HALLAM AVE S
MAHTOMEDI, MN, 551152217
Browse MN providers · Browse ZIP 55115
Phone
6513242481
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in MAHTOMEDI, MN

Name Credential NPI
MIRIAM BETH ROSENBERG LCSW 1245836345
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.