Organization · Type 2 NPI

Integrated Mind Body Therapy

Clinical Social Worker · St. Paul, MN

NPI number 1194680165 Active

Practice location

928 W 7th St
St. Paul, MN 55102-3699

Mailing address

1729 A St
St. Paul, MN 55106-6801

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1194680165

Integrated Mind Body Therapy's National Provider Identifier is 1194680165, issued on Dec 22, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on May 14, 2026.