Individual provider · Type 1 NPI
Susan Marie Gallucci, L.I.C.S.W.
Clinical Social Worker · St. Louis Park, MN
Practice location
5891 Cedar Lake Rd S # 103
St. Louis Park, MN 55416-1460
Mailing address
5891 Cedar Lake Rd, #103
St. Louis Park, MN 55416-1460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker | 1041S0200X | 312442 (MN) |
| Mental Health Counselor | 101YM0800X | None listed |
| Psychologist | 103T00000X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1235337999
Susan Marie Gallucci, L.I.C.S.W.'s National Provider Identifier is 1235337999, issued on Jul 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis Park, MN. The record was last updated on May 8, 2018.