Individual provider · Type 1 NPI

Reza Mathew Mikhaeil, LGSW

Clinical Social Worker · Baxter, MN

NPI number 1407645195 Active

Practice location

13045 Falcon Dr Ste 100
Baxter, MN 56425-4201

Call (218) 829-9307 Map

Fax (218) 829-7649

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34397 (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 1407645195

Reza Mathew Mikhaeil, LGSW's National Provider Identifier is 1407645195, issued on May 1, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baxter, MN. The record was last updated on May 1, 2025.