Individual provider · Type 1 NPI

Nicole Marcouiller, MSW, LICSW

Clinical Social Worker · Maple Grove, MN

NPI number 1407364565 Active

Practice location

10150 Niagara Ln N Ste 100
Maple Grove, MN 55369-7588

Call (763) 297-9700 Map

Mailing address

2550 University Ave W Ste 110N
St. Paul, MN 55114-2001

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X25899 (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 1407364565

Nicole Marcouiller, MSW, LICSW's National Provider Identifier is 1407364565, issued on Jan 10, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maple Grove, MN. The record was last updated on Sep 21, 2026.