Individual provider · Type 1 NPI

Fatai Adeshina Popoola, LICSW, LADC

Clinical Social Worker · Minneapolis, MN

NPI number 1174035331 Active

Practice location

525 Portland Ave # MC963
Minneapolis, MN 55415-1533

Call (612) 396-2280 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X303521 (MN)
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Clinical Social Worker Primary 1041C0700X24938 (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 1174035331

Fatai Adeshina Popoola, LICSW, LADC's National Provider Identifier is 1174035331, issued on Oct 27, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 6, 2025.