Individual provider · Type 1 NPI

Carolyn Marie Bollinger, LICSW

Clinical Social Worker · Lake Elmo, MN

NPI number 1316657117 Active

Practice location

8550 Hudson Blvd N Ste 100
Lake Elmo, MN 55042-8706

Fax (651) 254-0601

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X28021 (MN)
Clinical Social Worker Primary 1041C0700X11050-123 (WI)

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 1316657117

Carolyn Marie Bollinger, LICSW's National Provider Identifier is 1316657117, issued on Dec 2, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Elmo, MN. The record was last updated on Dec 2, 2022.