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Mary Ethen, LICSW
NPI 1619138633 · Clinical Social Worker · Saint Paul, MN
Mary Ethen, LICSW is a Clinical Social Worker provider in Saint Paul, MN (NPI 1619138633).
Provider details
- NPI number
- 1619138633
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 17361 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
69 Exchange St W
Saint Paul, MN 55102-1004
Phone: (651) 326-3675
Fax: (651) 232-3494
Street-level locationGet directions
Mailing address
361 Colleen Dr
Vadnais Heights, MN 55127-7086
Registry dates
- Enumerated
- 2008-06-23
- Last updated
- 2008-06-23
Frequently asked questions
- What is Mary Ethen's NPI number?
- Mary Ethen's National Provider Identifier (NPI) is 1619138633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Ethen's specialty?
- Mary Ethen is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mary Ethen located?
- Mary Ethen's practice location on file with NPPES is 69 Exchange St W, Saint Paul, MN 55102-1004.
- What is Mary Ethen's phone number?
- The practice phone number listed in the NPPES registry for Mary Ethen is (651) 326-3675.
- Is Mary Ethen's NPI active?
- Yes — Mary Ethen's NPI (1619138633) is active in the NPPES registry as of the last update on 2008-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.