Individual provider · Type 1 NPI

Katelyn Mariah, M.A, LICSW

Clinical Social Worker · Brooklyn Park, MN

NPI number 1063579936 Active

Practice location

7600 Boone Ave N
Brooklyn Park, MN 55428-4563

Call (763) 515-2452 Map

Fax (763) 515-2442

Mailing address

1641 Hague Ave
St. Paul, MN 55104-6236

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X07301 (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 1063579936

Katelyn Mariah, M.A, LICSW's National Provider Identifier is 1063579936, issued on Jan 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn Park, MN. The record was last updated on Jul 8, 2007.