Organization · Type 2 NPI

Mind Evolution

Clinical Social Worker · Madison, WI

NPI number 1245895754 Active

Practice location

401 Wisconsin Ave
Madison, WI 53703-1487

Mailing address

1078 Hwy 69
Belleville, WI 53508

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1245895754

Mind Evolution's National Provider Identifier is 1245895754, issued on May 9, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Jun 6, 2019.