Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Timothy Scott, LICSW

Individual provider Clinical Social Worker · NPI 1548304850

Timothy Scott, LICSW is a Clinical Social Worker in Maplewood, Minnesota. Qualified in 1991, 35 years ago. Practices with Northeast Counseling, PA, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
35
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

2127 County Road D E Ste A100
Maplewood, MN 55109-5350
Phone: (651) 592-1592
Fax: (651) 429-2988
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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 8472 (MN)

Record details

NPI number1548304850
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 19, 2007
Last updated in NPPESApril 5, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Northeast Counseling, P.A. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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