Individual provider · Type 1 NPI

Joclyn Malliet Tiedt, MSW, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1265150247 Active

Practice location

4027 County Road 25
Minneapolis, MN 55416-2629

Fax (612) 925-8496

Mailing address

4240 Park Glen Rd
St. Louis Park, MN 55416-5427

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200X509593 (MN)
Clinical Social Worker Primary 1041C0700X27222 (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 1265150247

Joclyn Malliet Tiedt, MSW, LICSW's National Provider Identifier is 1265150247, issued on Aug 16, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 16, 2022.