Individual provider · Type 1 NPI

Alan M. Listiak

Clinical Social Worker · Minneapolis, MN

NPI number 1003933532 Active

Practice location

1516 W Lake St, Suite 103
Minneapolis, MN 55408-2554

Call (612) 822-1357 Map

Fax (612) 822-1360

Mailing address

2712 Fremont Ave S
Minneapolis, MN 55408-1122

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7767 (MN)

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…

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About NPI 1003933532

Alan M. Listiak's National Provider Identifier is 1003933532, issued on Mar 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.