MR. DANIEL R CARLSON MDIV MSW LICSW NPI 1578617759

NPI Information

NPI: 1578617759
Provider Name: MR. DANIEL R CARLSON, MDIV MSW LICSW
Classification: Social Worker - 1041C0700X
Specialization: Clinical
Entity Type: Individual
PECOS Registration: Yes
Address: 1300 GODWARD ST NE
SUITE 6900
MINNEAPOLIS, MN
ZIP 55413
Phone: (612) 339-3367

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NPI Details

MR. Daniel R Carlson, MDIV MSW LICSW is a clinical social worker in Minneapolis, MN with 31 years of experience. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MR. Daniel R Carlson, MDIV MSW LICSW NPI is 1578617759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1300 GODWARD ST NE
SUITE 6900
MINNEAPOLIS, MN
ZIP 55413-002
Phone: (612) 339-3367
Fax: (612) 333-9969

The NPI 1578617759 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Psychotherapy, 45 minutes (HCPCS:90834)

The enumeration date for this NPI number is 1/23/2007 and was last updated on 7/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	11391	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	54168	OTHER	MINNESOTA	HEALTH PARTNERS
2	259317300	MEDICAID	MINNESOTA
3	800000788	MEDICARE UPIN	MINNESOTA
4	7G652CA	OTHER	MINNESOTA	BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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