Individual provider · Type 1 NPI

Megan Hickenbottom, LICSW

Clinical Social Worker · Fridley, MN

NPI number 1093277238 Active

Practice location

520 Osborne Rd NE
Fridley, MN 55432-2718

Mailing address

3305 Queensland Ln N
Plymouth, MN 55447-1133

Other practice locations

  • 2855 Campus Dr, Plymouth, MN 55441-2649 · (763) 577-7000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X22369 (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 1093277238

Megan Hickenbottom, LICSW's National Provider Identifier is 1093277238, issued on Apr 5, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fridley, MN. The record was last updated on Sep 23, 2024.