Individual provider · Type 1 NPI

Susan Sundberg, LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1104627421 Active

Practice location

700 8th St E
St. Paul, MN 55106-4414

Fax (651) 774-0606

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X24859 (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 1104627421

Susan Sundberg, LICSW's National Provider Identifier is 1104627421, issued on Mar 22, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Mar 22, 2025.