IndividualActive
Carolyn Disch, LICSW
NPI 1649910985 · Clinical Social Worker · Edina, MN
Provider details
- NPI number
- 1649910985
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 18282 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
7400 Metro Blvd Ste 211
Edina, MN 55439-2321
Phone: (952) 835-1616
Fax: (833) 859-1211
Street-level locationGet directions
Mailing address
5200 Willson Rd Ste 290
Edina, MN 55424-1346
Additional practice locations (1)
- 8120 Penn Ave S Ste 500fBloomington, MN 55431-1367Phone: (612) 325-6904
Registry dates
- Enumerated
- 2022-04-01
- Last updated
- 2023-01-10
- Certified
- 2023-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.