Individual provider · Type 1 NPI

Mark William Smith, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1508988908 Active

Practice location

5939 Portland Ave
Minneapolis, MN 55417-3127

Fax (612) 866-9379

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11372 (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 1508988908

Mark William Smith, LICSW's National Provider Identifier is 1508988908, issued on Apr 4, 2007. 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 9, 2007.