Individual provider · Type 1 NPI

Bryan Ellingson, MSW, LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1366041683 Active

Practice location

1821 University Ave W # 306A
St. Paul, MN 55104-2801

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X26505 (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 1366041683

Bryan Ellingson, MSW, LICSW's National Provider Identifier is 1366041683, issued on Oct 19, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Nov 17, 2020.