Individual provider · Type 1 NPI
Janelle R. Miedema, LICSW
Clinical Social Worker · Fargo, ND
Practice location
1202 23 St S
Fargo, ND 58103
Fax (701) 293-0736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 992 (ND) |
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 1083752455
Janelle R. Miedema, LICSW's National Provider Identifier is 1083752455, issued on Feb 1, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fargo, ND. The record was last updated on Jul 8, 2007.