Individual provider · Type 1 NPI

Alexandra Subbaraman, MSW, LICSW

Clinical Social Worker · Richfield, MN

NPI number 1124637988 Active

Practice location

6625 Lyndale Ave S Ste 440
Richfield, MN 55423-2380

Mailing address

PO Box 40
Gwinn, MI 49841-0040

Other practice locations

  • 1501 Xerxes Ave N, Minneapolis, MN 55411-2851 · (763) 521-3477

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28554 (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…

10 other providers at this address

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About NPI 1124637988

Alexandra Subbaraman, MSW, LICSW's National Provider Identifier is 1124637988, issued on Jul 28, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richfield, MN. The record was last updated on Aug 2, 2023.