Individual provider · Type 1 NPI

Kathoucha Edouard, LCSW

Clinical Social Worker · Arden Hills, MN

NPI number 1124208715 Active

Practice location

4255 Lexington Ave N
Arden Hills, MN 55126-6164

Call (952) 746-5350 Map

Mailing address

14301 Ewing Ave S
Burnsville, MN 55306-4885

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X069349 (NY)

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 1124208715

Kathoucha Edouard, LCSW's National Provider Identifier is 1124208715, issued on Nov 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Arden Hills, MN. The record was last updated on Jul 10, 2026.