Individual provider · Type 1 NPI

Allisa Prokopanko, MSW, LICSW

Clinical Social Worker · Eden Prairie, MN

NPI number 1437560836 Active

Practice location

6458 City West Pkwy
Eden Prairie, MN 55344-3245

Call (952) 767-6791 Map

Fax (612) 728-5301

Mailing address

5253 Beard Ave S
Minneapolis, MN 55410-2117

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20444 (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 1437560836

Allisa Prokopanko, MSW, LICSW's National Provider Identifier is 1437560836, issued on May 19, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eden Prairie, MN. The record was last updated on May 19, 2014.