Individual provider · Type 1 NPI

Lacey Severson

Clinical Social Worker · Minneapolis, MN

NPI number 1265064935 Active

Practice location

2120 Clinton Ave
Minneapolis, MN 55404-2649

Call (952) 405-7190 Map

Mailing address

6140 Quinwood Ln N Apt 4114
Plymouth, MN 55442-1294

Other practice locations

3705 Park Center Blvd, St. Louis Park, MN 55416-2504 · (952) 405-7190
1349 Jersey Ave S, St. Louis Park, MN 55426-2231 · (952) 405-7190
2356 University Ave W, St. Paul, MN 55114-1853 · (952) 405-7190

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	26356 (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…

2 other providers at this address

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About NPI 1265064935

Lacey Severson's National Provider Identifier is 1265064935, issued on Feb 10, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 10, 2020.