Individual provider · Type 1 NPI

Jacquelyn Kaye Hanson-Hietala, LGSW

Clinical Social Worker · Duluth, MN

NPI number 1215569181 Active

Practice location

205 W 2nd St Ste 300
Duluth, MN 55802-1928

Fax (218) 481-7405

Mailing address

5380 Shady Ln
Duluth, MN 55811-9732

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X26768 (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 1215569181

Jacquelyn Kaye Hanson-Hietala, LGSW's National Provider Identifier is 1215569181, issued on Feb 10, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Duluth, MN. The record was last updated on Feb 10, 2020.