Individual provider · Type 1 NPI

Justin W. Swanson, LICSW

Clinical Social Worker · Mendota Heights, MN

NPI number 1053974865 Active

Practice location

750 S Plaza Dr Ste 100
Mendota Heights, MN 55120-1505

Call (612) 227-9014 Map

Fax (651) 455-1385

Mailing address

4720 Grand Ave S Unit 2
Minneapolis, MN 55419-5430

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X22271 (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 1053974865

Justin W. Swanson, LICSW's National Provider Identifier is 1053974865, issued on Apr 17, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mendota Heights, MN. The record was last updated on Apr 17, 2019.