Individual provider · Type 1 NPI

Amy Patrice Kuusisto-Lathrop, MSW, LICSW

Clinical Social Worker · Brooklyn Center, MN

NPI number 1275699381 Active

Practice location

6200 Shingle Creek Pkwy Ste 350
Brooklyn Center, MN 55430-2155

Call (763) 503-8560 Map

Fax (763) 503-8563

Mailing address

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

Other practice locations

  • 1919 University Ave W, Suite 200, St. Paul, MN 55104-3453 · (651) 266-7900

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10798 (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…

4 other providers at this address

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About NPI 1275699381

Amy Patrice Kuusisto-Lathrop, MSW, LICSW's National Provider Identifier is 1275699381, issued on Dec 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn Center, MN. The record was last updated on Jan 18, 2023.