Organization · Type 2 NPI
The Renegade Therapist LLC
Clinical Social Worker · Northfield, MN
Practice location
400 Washington St # 288
Northfield, MN 55057-2027
Fax (262) 394-0828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1386580884
The Renegade Therapist LLC's National Provider Identifier is 1386580884, issued on Apr 27, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Northfield, MN. The record was last updated on Apr 27, 2026.