Individual provider · Type 1 NPI

Laura Louise Evensen, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1104122605 Active

Practice location

4306 Bryant Ave S
Minneapolis, MN 55409-1709

Call (952) 649-6826 Map

Fax (652) 925-0433

Mailing address

5917 Dupont Ave S
Minneapolis, MN 55419-2110

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X19385 (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 1104122605

Laura Louise Evensen, LICSW's National Provider Identifier is 1104122605, issued on Jan 31, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on May 4, 2018.