Provider Demographics
NPI:1952299190
Name:BINDER, CAROLYN DENISE (LICSW)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:DENISE
Last Name:BINDER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5624 KNOX AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-1506
Mailing Address - Country:US
Mailing Address - Phone:612-356-9044
Mailing Address - Fax:
Practice Address - Street 1:3340 REPUBLIC AVE STE 110
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-4156
Practice Address - Country:US
Practice Address - Phone:952-260-2090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN324541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical