Individual provider · Type 1 NPI

Michael David Carlson, MSW, LICSW

Clinical Social Worker · Mahtomedi, MN

NPI number 1366110199 Active

Practice location

410 Hallam Ave S
Mahtomedi, MN 55115-2217

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200X19422 (MN)
Clinical Social Worker Primary 1041C0700X19422 (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 1366110199

Michael David Carlson, MSW, LICSW's National Provider Identifier is 1366110199, issued on Sep 6, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mahtomedi, MN. The record was last updated on Sep 6, 2021.