Individual provider · Type 1 NPI

Ravae E. Anderson, LICSW

Clinical Social Worker · Pine City, MN

NPI number 1164358982 Active

Practice location

705 Hillside Ave SW
Pine City, MN 55063-1466

Fax (651) 925-0071

Mailing address

220 Railroad St SE
Pine City, MN 55063-1540

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X29239 (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 1164358982

Ravae E. Anderson, LICSW's National Provider Identifier is 1164358982, issued on Jun 19, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pine City, MN. The record was last updated on Jun 19, 2026.