Individual provider · Type 1 NPI

Tera Anne Gardner, LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1255595187 Active

Practice location

1919 University Ave W, Suite 200
St. Paul, MN 55104-3453

Fax (651) 266-7850

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X17447 (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 1255595187

Tera Anne Gardner, LICSW's National Provider Identifier is 1255595187, issued on Jul 10, 2008. 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 Jul 10, 2008.