Individual provider · Type 1 NPI

Rusty Rose-Dixon, LGSW

Clinical Social Worker · St. Louis Park, MN

NPI number 1144928581 Active

Practice location

1665 Utica Ave S
St. Louis Park, MN 55416-3474

Mailing address

PO Box 1309 - Mail Stop 21110Q
Minneapolis, MN 55440-1309

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X30054 (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 1144928581

Rusty Rose-Dixon, LGSW's National Provider Identifier is 1144928581, issued on Feb 15, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis Park, MN. The record was last updated on Feb 16, 2023.