Individual provider · Type 1 NPI

Jill Marie Buckingham, DTR, LICSW

Clinical Social Worker · Shoreview, MN

NPI number 1235295148 Active

Practice location

3490 Lexington Ave N Ste 205
Shoreview, MN 55126-8044

Call (651) 486-3808 Map

Fax (651) 486-3858

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12099 (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…

12 other providers at this address

Other clinical social worker providers in Shoreview

See all in Shoreview →

About NPI 1235295148

Jill Marie Buckingham, DTR, LICSW's National Provider Identifier is 1235295148, issued on Dec 28, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shoreview, MN. The record was last updated on Jul 8, 2007.