Gina Lynn Misiewicz, LICSW
Social Worker, Clinical in Robbinsdale, MN. Individual provider (NPI-1).
NPI number1154957439
StatusActive
Last updated in NPPESApr 6, 2026
Details
- NPI
- 1154957439
- Entity type
- Individual (NPI-1)
- Name
- Gina Lynn Misiewicz
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2020
- Certification date
- Apr 6, 2026
- Last updated
- Apr 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 21761 | MN | Yes |
| 1041S0200X | Social Worker, School | 21761 | MN |
Practice location
3300 Oakdale Avenue NRobbinsdale, MN 55422
Phone 763-581-5372
Mailing address
3300 Oakdale Ave NRobbinsdale, MN 55422-2900
Phone 763-581-5372
Other practice locations
1250 W Broadway Ave
Minneapolis, MN 55411-2533
Minneapolis, MN 55411-2533
Phone 612-668-2883 · Fax 612-668-2880
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