Individual provider · Type 1 NPI

Josette C. Wynne, LICSW

Clinical Social Worker · Eagan, MN

NPI number 1194486951 Active

Practice location

C/o Aslan Institute, 4141 Old Sibley Memorial Hwy
Eagan, MN 55122

Mailing address

11525 River Hills Dr
Burnsville, MN 55337-3215

Other practice locations

  • 4969 Olson Memorial Hwy, Golden Valley, MN 55422-5138 · (763) 575-8086

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X30694 (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 1194486951

Josette C. Wynne, LICSW's National Provider Identifier is 1194486951, issued on Jan 4, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eagan, MN. The record was last updated on Apr 19, 2024.