Individual provider · Type 1 NPI

Taylor J. Berthiaume, LICSW, LCSW

Clinical Social Worker · Woodbury, MN

NPI number 1306408190 Active

Practice location

1811 Weir Dr
Woodbury, MN 55125-2272

Call (651) 714-9646 Map

Fax (651) 714-9647

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Other practice locations

  • 2501 Hanley Rd Ste 201, Hudson, WI 54016-8786 · (534) 544-5247

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X11384-123 (WI)
Clinical Social Worker Primary 1041C0700X35184 (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 1306408190

Taylor J. Berthiaume, LICSW, LCSW's National Provider Identifier is 1306408190, issued on Jul 2, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodbury, MN. The record was last updated on Oct 16, 2026.