Individual provider · Type 1 NPI

Diem Thi Kim Hong Cao, LICSW, LADC

Clinical Social Worker · Maplewood, MN

NPI number 1376903187 Active

Practice location

2785 White Bear Ave N, Suit 403
Maplewood, MN 55109-1307

Call (651) 454-0114 Map

Fax (651) 454-3492

Mailing address

3450 Oleary Ln
Eagan, MN 55123-2340

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X304113 (MN)
Clinical Social Worker Primary 1041C0700X21938 (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 1376903187

Diem Thi Kim Hong Cao, LICSW, LADC's National Provider Identifier is 1376903187, issued on Mar 7, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maplewood, MN. The record was last updated on Mar 7, 2016.