Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John O'Brien, LICSW

Individual provider Clinical Social Worker · NPI 1457579427

John O'Brien, LICSW is a Clinical Social Worker in Bloomington, Minnesota. Qualified in 1998, 28 years ago. Practices with Abintra Inc, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
28
Licensed in
MN
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

200 W 98th St Ste 107
Bloomington, MN 55420-4858
Phone: (612) 968-6097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 14313 (MN)

Record details

NPI number1457579427
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESNovember 16, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Abintra Inc. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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