Individual provider · Type 1 NPI
Robert John Dejdar, LICSW
Clinical Social Worker · Eagan, MN
Practice location
1415 Cutters Ln
Eagan, MN 55122-3800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 2361 (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 1215041694
Robert John Dejdar, LICSW's National Provider Identifier is 1215041694, issued on Aug 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eagan, MN. The record was last updated on Jul 8, 2007.