Individual provider · Type 1 NPI

Jenny Belle Hollis, L.I.C.S.W.

Clinical Social Worker · Red Lake, MN

NPI number 1174739098 Active

Practice location

24760 Hospital Drive
Red Lake, MN 56671

Mailing address

PO Box 93
Redlake, MN 56671-0093

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X02572 (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 1174739098

Jenny Belle Hollis, L.I.C.S.W.'s National Provider Identifier is 1174739098, issued on May 15, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Red Lake, MN. The record was last updated on Jul 8, 2007.