Individual provider · Type 1 NPI

Fierra Megan Nussbaum, MSW, LICSW

Clinical Social Worker · West St. Paul, MN

NPI number 1104393883 Active

Practice location

149 Thompson Ave E Ste 150
West St. Paul, MN 55118-3238

Call (651) 450-0860 Map

Fax (651) 450-0759

Mailing address

4240 Park Glen Rd
St. Louis Park, MN 55416-5427

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27427 (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 1104393883

Fierra Megan Nussbaum, MSW, LICSW's National Provider Identifier is 1104393883, issued on Oct 31, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West St. Paul, MN. The record was last updated on Apr 14, 2021.