Individual provider · Type 1 NPI

Erin Kristine Church, LICSW

Clinical Social Worker · Fridley, MN

NPI number 1083226112 Active

Practice location

500 Osborne Rd NE Ste 255
Fridley, MN 55432-2768

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27331 (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 1083226112

Erin Kristine Church, LICSW's National Provider Identifier is 1083226112, issued on Aug 19, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fridley, MN. The record was last updated on Aug 19, 2020.