Individual provider · Type 1 NPI

Jennifer Mittie King, LICSW

Clinical Social Worker · Apple Valley, MN

NPI number 1336032788 Active

Practice location

7300 147th St W Ste 600
Apple Valley, MN 55124-7850

Fax (952) 997-3026

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X17092 (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 1336032788

Jennifer Mittie King, LICSW's National Provider Identifier is 1336032788, issued on Jun 2, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Apple Valley, MN. The record was last updated on Nov 14, 2025.