Individual provider · Type 1 NPI

Colleen Crockford, MSW, LICSW

Clinical Social Worker · Golden Valley, MN

NPI number 1578074308 Active

Practice location

8441 Wayzata Blvd Ste 290
Golden Valley, MN 55426-1346

Mailing address

5209 2nd Ave S
Minneapolis, MN 55419-1411

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20496 (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 1578074308

Colleen Crockford, MSW, LICSW's National Provider Identifier is 1578074308, issued on Oct 19, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Golden Valley, MN. The record was last updated on May 6, 2026.