Individual provider · Type 1 NPI

Amanda Pang Foua Moua, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1407341837 Active

Practice location

1501 Xerxes Ave N
Minneapolis, MN 55411-2851

Call (612) 977-3236 Map

Fax (612) 521-3893

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4152565 (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 1407341837

Amanda Pang Foua Moua, LICSW's National Provider Identifier is 1407341837, issued on Jun 27, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 10, 2018.