Individual provider · Type 1 NPI

Andrea L. Gustafson, L.C.S.W., L.M.T.

Clinical Social Worker · Eau Claire, WI

NPI number 1346451523 Active

Practice location

1808 Folsom St
Eau Claire, WI 54703-2579

Mailing address

1010 Pumphouse Rd, Unit C
Chippewa Falls, WI 54729-4041

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7649-123 (WI)
Massage Therapist 225700000X4982-146 (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 1346451523

Andrea L. Gustafson, L.C.S.W., L.M.T.'s National Provider Identifier is 1346451523, issued on May 27, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eau Claire, WI. The record was last updated on Nov 10, 2010.