Individual provider · Type 1 NPI

Mary Beth Thomas, LICSW

Clinical Social Worker · Cloquet, MN

NPI number 1184746133 Active

Practice location

207 Avenue C, Suite 202
Cloquet, MN 55720-1584

Fax (218) 655-3390

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12849 (MN)
Clinical Social Worker 1041C0700X993074 (CO)

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 1184746133

Mary Beth Thomas, LICSW's National Provider Identifier is 1184746133, issued on Apr 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cloquet, MN. The record was last updated on Jan 23, 2009.