Organization · Type 2 NPI

Hennepin County

Clinical Social Worker · Minneapolis, MN

NPI number 1003526955 Active

Practice location

1800 Chicago Ave Ste 100
Minneapolis, MN 55404-2592

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Mental Health Counselor	101YM0800X	None listed
Professional Counselor	101YP2500X	None listed
Psychologist	103T00000X	None listed
Clinical Psychologist	103TC0700X	None listed
Clinical Social Worker Primary	1041C0700X	None listed
Marriage & Family Therapist	106H00000X	None listed
Psychiatry Physician	2084P0800X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

Clinical Social Worker: 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 interpers…

2 other providers at this address

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About NPI 1003526955

Hennepin County's National Provider Identifier is 1003526955, issued on Dec 1, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 9, 2025.