Individual provider · Type 1 NPI

Amanda Graham, LICSW

Clinical Social Worker · Rochester, MN

NPI number 1407487523 Active

Practice location

200 1st St SW
Rochester, MN 55905-0001

Call (507) 284-2511 Map

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X21348 (MN)
Clinical Social Worker Primary 1041C0700X21348 (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 1407487523

Amanda Graham, LICSW's National Provider Identifier is 1407487523, issued on Jan 28, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rochester, MN. The record was last updated on Jul 25, 2025.