Individual provider · Type 1 NPI
Ann Marie Dietman, LICSW
Clinical Social Worker · Cass Lake, MN
Practice location
16123 Grant Utley Ave. NW
Cass Lake, MN 56633
Mailing address
7105 Little Wolf Rd NW
Cass Lake, MN 56633-3024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 30832 (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 1083440564
Ann Marie Dietman, LICSW's National Provider Identifier is 1083440564, issued on Sep 11, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cass Lake, MN. The record was last updated on Sep 12, 2024.