Individual provider · Type 1 NPI

Theresa Stepan Land, LICSW

Clinical Social Worker · Golden Valley, MN

NPI number 1164735775 Active

Practice location

1405 Lilac Dr N
Golden Valley, MN 55422-4535

Fax (763) 486-4439

Mailing address

5112 Forest Rd
Minnetonka, MN 55345-4328

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12605 (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 1164735775

Theresa Stepan Land, LICSW's National Provider Identifier is 1164735775, issued on Jul 23, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Golden Valley, MN. The record was last updated on Jul 23, 2010.