IndividualActive
Alicia Malisheski, LICSW
NPI 1891535324 · Clinical Social Worker · Maple Grove, MN
Provider details
- NPI number
- 1891535324
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 30172 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
11671 Fountains Dr Ste 200
Maple Grove, MN 55369-4784
Phone: (612) 223-8898
Approximate (ZIP-level) locationGet directions
Mailing address
11671 Fountains Dr N Ste 200
Maple Grove, MN 55369-4784
Registry dates
- Enumerated
- 2024-05-31
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.