Individual provider · Type 1 NPI

Autumn V. Cole, PHD LP LICSW

Clinical Social Worker · Virginia, MN

NPI number 1174615058 Active

Practice location

624 S 13th St
Virginia, MN 55792

Call (218) 749-2881 Map

Fax (218) 749-3806

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XLP2216 (MN)
Clinical Social Worker Primary 1041C0700XLICSW7953 (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 1174615058

Autumn V. Cole, PHD LP LICSW's National Provider Identifier is 1174615058, issued on Sep 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Virginia, MN. The record was last updated on Sep 11, 2025.