Mary Gustafson, LICSW
NPI 1902138480 · Clinical Social Worker · Minneapolis, MN
Mary Gustafson, LICSW is a Clinical Social Worker provider in Minneapolis, MN (NPI 1902138480).
Provider details
- NPI number
- 1902138480
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 15931 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2010-02-08
- Last updated
- 2010-02-08
Frequently asked questions
- What is Mary Gustafson's NPI number?
- Mary Gustafson's National Provider Identifier (NPI) is 1902138480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Gustafson's specialty?
- Mary Gustafson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mary Gustafson located?
- Mary Gustafson's practice location on file with NPPES is 1845 E Lake St, Minneapolis, MN 55407-1859.
- What is Mary Gustafson's phone number?
- The practice phone number listed in the NPPES registry for Mary Gustafson is (612) 721-6215.
- Is Mary Gustafson's NPI active?
- Yes — Mary Gustafson's NPI (1902138480) is active in the NPPES registry as of the last update on 2010-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.