Individual provider · Type 1 NPI

Blaine Robert Boverhuis, MSW, LICSW

Clinical Social Worker · Edina, MN

NPI number 1275210338 Active

Practice location

6401 France Ave S
Edina, MN 55435-2104

Call (952) 924-2888 Map

Fax (952) 924-2880

Mailing address

2509 27th Ave N
Minneapolis, MN 55411-1001

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X19085 (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 1275210338

Blaine Robert Boverhuis, MSW, LICSW's National Provider Identifier is 1275210338, issued on Jun 30, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Edina, MN. The record was last updated on Jun 30, 2023.