Individual provider · Type 1 NPI

Leanne Mairs, LICSW

Clinical Social Worker · Shoreview, MN

NPI number 1053567560 Active

Practice location

1030 County Road E W
Shoreview, MN 55126-8152

Mailing address

PO Box 270773
Vadnais Heights, MN 55127-0773

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X16359 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1053567560

Leanne Mairs, LICSW's National Provider Identifier is 1053567560, issued on Aug 15, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shoreview, MN. The record was last updated on Sep 7, 2026.