Individual provider · Type 1 NPI

De Ella Dawn Wilcox, MSW, LICSW

Clinical Social Worker · St. Cloud, MN

NPI number 1245645688 Active

Practice location

2233 Roosevelt Rd. Ste. 1
St. Cloud, MN 56301

Fax (320) 217-5453

Mailing address

PO Box 7430
St. Cloud, MN 56302-7430

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X23285 (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 1245645688

De Ella Dawn Wilcox, MSW, LICSW's National Provider Identifier is 1245645688, issued on Jun 24, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Cloud, MN. The record was last updated on Feb 24, 2025.