NPPES file of Aug 9, 2026

Mark William Smith, LICSW

Clinical Social Worker · Minneapolis, MN

Mark William Smith, LICSW is a clinical social worker with a practice address in Minneapolis, Minnesota, and NPI 1508988908, issued on Apr 4, 2007. Check the license (Minnesota 11372, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1508988908
Name
Mark William Smith
Credential
LICSW
Primary taxonomy
Clinical Social Worker 1041C0700X
License number
11372 MN
Self-reported in NPPES; status is on the state search
Practice location
5939 Portland Ave, Minneapolis, MN 55417
Phone
(612) 866-6100
Enumerated
Apr 4, 2007
Record last updated
Jul 9, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(612) 866-9379
Medicare enrollment
Enrolled (PECOS I20041203000080); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 5939 Portland Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Noussaiba Ayour, PA-CMedical Physician Assistant1821616764
  2. Jessica Pusch, LPCC, LADCProfessional Counselor1902422959
  3. Elizabeth Royster, LMFTMarriage & Family Therapist1205130697
  4. Lisa XiongPhysician Assistant1679141667

Verify Mark William Smith in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
    Search for license 11372
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Mark William Smith among 6,609 clinical social worker records in Minnesota

Mark William Smith, LICSW is one of 6,609 clinical social worker records with a practice address in Minnesota. 24% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 11% of them.

  • NPI issued2007 · 11% of these records are older, 82% newer
  • In a Medicare fileNo · 24% of these records are
  • In the CMS Doctors and Clinicians fileYes · 31% of these records are
  • Graduated1995 · median 2014 among the 2,023 with a school on file
  • Record last updated2007 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1,464 clinical social worker records list a practice address in Minneapolis

They are 1,464 of the 22,918 NPPES records with a practice address in Minneapolis, and 6,609 clinical social worker records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 clinical social worker records with the nearest ZIP codes

  1. Amy Archer, L.I.C.S.W.Minneapolis, MN 554171801825112
  2. Lisa Barett, LICSWMinneapolis, MN 554171972541852
  3. Sarah Burrows, LICSWMinneapolis, MN 554171013963214
  4. Nancy Donovan, MSSWMinneapolis, MN 554171548214802
  5. Pamela Gerber, LICSWMinneapolis, MN 554171275577363
  6. Daniel GoedkenMinneapolis, MN 554171063455285
  7. Simone Hogan, LICSWMinneapolis, MN 554171568408409
  8. Nancy Mikulski, MSW, LICSWMinneapolis, MN 554171336194810

Common questions

What is Mark William Smith, LICSW's NPI number?

Mark William Smith, LICSW's National Provider Identifier (NPI) is 1508988908, issued on Apr 4, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Mark William Smith, LICSW located?

The NPPES record lists a practice address at 5939 Portland Ave, Minneapolis, MN, 55417. Phone: (612) 866-6100. Providers update this record themselves, so call before visiting.

How can I verify Mark William Smith, LICSW's license?

NPPES lists Minnesota license number 11372, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.