Individual provider · Type 1 NPI

Kimberly Jean Sletta Avenson, MSW, LICSW

Clinical Social Worker · Bemidji, MN

NPI number 1154422012 Active

Practice location

722 15th Street N.w.
Bemidji, MN 56619-0640

Fax (218) 751-3298

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15400 (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 1154422012

Kimberly Jean Sletta Avenson, MSW, LICSW's National Provider Identifier is 1154422012, issued on Sep 25, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bemidji, MN. The record was last updated on Dec 13, 2019.