Individual provider · Type 1 NPI

Marisa Irene Gustafson, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1114888443 Active

Practice location

2525 Chicago Ave
Minneapolis, MN 55404-4518

Call (612) 813-6000 Map

Mailing address

3124 Columbus Ave
Minneapolis, MN 55407-1535

Other practice locations

  • 345 Smith Ave N, St. Paul, MN 55102-2346 · (651) 220-6000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X26510 (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 1114888443

Marisa Irene Gustafson, LICSW's National Provider Identifier is 1114888443, issued on Nov 18, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 18, 2025.