Individual provider · Type 1 NPI

Jennifer Jo Faul, LCSW IN ND LGSW IN M

Clinical Social Worker · Moorhead, MN

NPI number 1043385032 Active

Practice location

2925 20th St S
Moorhead, MN 56560

Fax (218) 284-5944

Mailing address

PO Box 111
Davenport, ND 58021

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X2994 (ND)
Clinical Social Worker Primary 1041C0700X11233 (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 1043385032

Jennifer Jo Faul, LCSW IN ND LGSW IN M's National Provider Identifier is 1043385032, issued on Nov 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moorhead, MN. The record was last updated on Jul 8, 2007.