Individual provider · Type 1 NPI

Alicia Marie Malisheski, LICSW

Clinical Social Worker · Maple Grove, MN

NPI number 1891535324 Active

Practice location

11671 Fountains Dr Ste 200
Maple Grove, MN 55369-4784

Mailing address

11671 Fountains Dr N Ste 200
Maple Grove, MN 55369-4784

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X30172 (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 1891535324

Alicia Marie Malisheski, LICSW's National Provider Identifier is 1891535324, issued on May 31, 2024. 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 May 29, 2026.