Individual provider · Type 1 NPI

Rebel K. Gustafson, MSW, LICSW

Clinical Social Worker · Duluth, MN

NPI number 1407061047 Active

Practice location

407 E 3rd St
Duluth, MN 55805-1950

Call (218) 786-4000 Map

Mailing address

400 E 3rd St, Credentialing Dept., MCL2CRED
Duluth, MN 55805-1951

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8719 (MN)
Clinical Social Worker 1041C0700X8589 (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 1407061047

Rebel K. Gustafson, MSW, LICSW's National Provider Identifier is 1407061047, issued on May 14, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Duluth, MN. The record was last updated on Sep 29, 2016.