Individual provider · Type 1 NPI

Laura Lopez Nystrom, MSW, LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1558796565 Active

Practice location

381 Robie St E
St. Paul, MN 55107-2415

Fax (651) 290-2703

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10664 (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 1558796565

Laura Lopez Nystrom, MSW, LICSW's National Provider Identifier is 1558796565, issued on Sep 9, 2013. 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 Sep 9, 2013.