Individual provider · Type 1 NPI

Gretchen Suzanne Kirvida, LICSW

Clinical Social Worker · Centerville, MN

NPI number 1215097928 Active

Practice location

7039 20th Ave
Centerville, MN 55038-9737

Fax (651) 288-0493

Mailing address

PO Box 397
Center City, MN 55012

Other practice locations

  • 882 SW 15th Street, Forest Lake, MN 55025 · (651) 464-2194

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3068 (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…

8 other providers at this address

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About NPI 1215097928

Gretchen Suzanne Kirvida, LICSW's National Provider Identifier is 1215097928, issued on Dec 11, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Centerville, MN. The record was last updated on Aug 3, 2020.