Individual provider · Type 1 NPI

Larry Vaughn Blair, L.I.C.S.W.

Clinical Social Worker · Burnsville, MN

NPI number 1083936181 Active

Practice location

2970 Judicial Road, Suite 100
Burnsville, MN 55337

Call (952) 224-8990 Map

Fax (952) 224-8991

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10727 (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 1083936181

Larry Vaughn Blair, L.I.C.S.W.'s National Provider Identifier is 1083936181, issued on Feb 17, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Burnsville, MN. The record was last updated on Sep 25, 2024.