Individual provider · Type 1 NPI
Mark Henderson Davis, LICSW
Clinical Social Worker · Fridley, MN
Practice location
5384 Street NE, Community Options Fridley
Fridley, MN 55421
Fax (763) 572-1295
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 3796 (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 1457786998
Mark Henderson Davis, LICSW's National Provider Identifier is 1457786998, issued on Sep 3, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fridley, MN. The record was last updated on Sep 3, 2013.