Individual provider · Type 1 NPI

Jody Wallin, LICSW

Clinical Social Worker · Maple Grove, MN

NPI number 1124449392 Active

Practice location

12915 63rd Ave N
Maple Grove, MN 55369-6001

Call (952) 826-8465 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20641 (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 1124449392

Jody Wallin, LICSW's National Provider Identifier is 1124449392, issued on Dec 13, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maple Grove, MN. The record was last updated on Dec 13, 2013.