Individual provider · Type 1 NPI

Aleiya Marielle Penn, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1043174063 Active

Practice location

4208 Park Glen Rd
Minneapolis, MN 55416-4758

Call (612) 825-4792 Map

Fax (626) 727-7535

Mailing address

3700 Colfax Ave S Apt 2
Minneapolis, MN 55409-1024

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X31676 (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 1043174063

Aleiya Marielle Penn, LICSW's National Provider Identifier is 1043174063, issued on Dec 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 13, 2025.