Individual provider · Type 1 NPI
Janet Ellen Bystrom Micek, LICSW
Clinical Social Worker · Minneapolis, MN
Practice location
730 E 38th St Ste 200
Minneapolis, MN 55407-5235
Mailing address
4236 Columbus Ave
Minneapolis, MN 55407-3115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 17409 (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 1417124256
Janet Ellen Bystrom Micek, LICSW's National Provider Identifier is 1417124256, issued on May 12, 2008. 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 20, 2020.