Individual provider · Type 1 NPI

Reilly White

Clinical Social Worker · Moose Lake, MN

NPI number 1275469504 Active

Practice location

451 Arrowhead Ln
Moose Lake, MN 55767-8201

Mailing address

6657 Maple Grove Rd
Cloquet, MN 55720-9241

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 1275469504

Reilly White's National Provider Identifier is 1275469504, issued on Jun 23, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moose Lake, MN. The record was last updated on Jun 23, 2026.