Individual provider · Type 1 NPI

Jeannine Katherine Myrvik, LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1043404775 Active

Practice location

333 Smith Ave N
St. Paul, MN 55102-2344

Call (651) 241-5618 Map

Fax (651) 241-7168

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15374 (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 1043404775

Jeannine Katherine Myrvik, LICSW's National Provider Identifier is 1043404775, issued on Sep 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Sep 6, 2007.