Individual provider · Type 1 NPI

Bruce R. Fisher, MSW LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1235104084 Active

Practice location

2550 University Ave W, Suite 435 S.
St. Paul, MN 55114-1052

Fax (651) 647-1861

Mailing address

3310 Nicollet Ave, #406
Minneapolis, MN 55408-4495

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1634 (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 1235104084

Bruce R. Fisher, MSW LICSW's National Provider Identifier is 1235104084, issued on Feb 22, 2006. 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 Jan 27, 2014.