Individual provider · Type 1 NPI
Miram Sarah Itzkowitz, LICSW
Clinical Social Worker · St. Paul, MN
Practice location
590 Holly Ave Apt 9
St. Paul, MN 55102-2264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 18123 (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 1114158128
Miram Sarah Itzkowitz, LICSW's National Provider Identifier is 1114158128, issued on Aug 7, 2009. 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 Aug 7, 2009.