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Julian Walter Sachs, LICSW

NPI 1245008358ActiveIndividual· Social Worker, Clinical· Plymouth, MN

Social Worker, Clinical (LICSW) with Lyn-Lake Psychotherapy and Wellness Ltd, practicing in Plymouth, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.

Overview

NPI1245008358
StatusActive
Entity typeIndividual
CredentialLICSW
Sole proprietorYes
NPI issuedDec 18, 2023
Last updated in NPPESJun 9, 2025
Certified by providerJun 9, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X24845MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (MN)

Medicare sources and data years

Education and affiliations

Graduation year2015
Medicare specialtyClinical Social Worker

Medical group

Source: CMS Care Compare

Other clinical social workers in Plymouth

All 43 clinical social workers in Plymouth · All clinical social workers in Minnesota