Individual provider · Type 1 NPI

Blaine Edward Hanson, LICSW

Clinical Social Worker · Brooklyn Park, MN

NPI number 1194499756 Active

Practice location

5500 94th Ave N
Brooklyn Park, MN 55443-1992

Call (763) 762-8862 Map

Fax (763) 315-6685

Mailing address

9400 Zane Ave N
Brooklyn Park, MN 55443-1814

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X26434 (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 1194499756

Blaine Edward Hanson, LICSW's National Provider Identifier is 1194499756, issued on Aug 5, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn Park, MN. The record was last updated on Aug 5, 2021.