Individual provider · Type 1 NPI

Amy L. Kephart, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1174845119 Active

Practice location

3033 Excelsior Blvd Ste 215
Minneapolis, MN 55416-5274

Call (347) 746-0522 Map

Fax (651) 925-0427

Mailing address

5121 Upton Ave S
Minneapolis, MN 55410-2246

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28099 (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 1174845119

Amy L. Kephart, LICSW's National Provider Identifier is 1174845119, issued on Feb 18, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 22, 2025.