Individual provider · Type 1 NPI
Raymond Christopher Shoup, LICSW
Clinical Social Worker · Mankato, MN
Practice location
614 Southhaven Dr
Mankato, MN 56001-4188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 31476 (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 1316838733
Raymond Christopher Shoup, LICSW's National Provider Identifier is 1316838733, issued on Jul 14, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mankato, MN. The record was last updated on Jul 14, 2025.