Individual provider · Type 1 NPI

Kyoko Katayama, LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1417037458 Active

Practice location

366 Prior Ave N, Suite 202
St. Paul, MN 55104-5165

Fax (651) 644-5064

Mailing address

1474 Branston St
St. Paul, MN 55108-1434

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X225 (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 1417037458

Kyoko Katayama, LICSW's National Provider Identifier is 1417037458, issued on Oct 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Oct 30, 2008.