Individual provider · Type 1 NPI

Peggy Thao Lao, LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1609203868 Active

Practice location

1566 Thomas Ave
St. Paul, MN 55104-1865

Mailing address

14591 Peridot St NW
Ramsey, MN 55303-3911

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X18707 (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 1609203868

Peggy Thao Lao, LICSW's National Provider Identifier is 1609203868, issued on Oct 2, 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 Oct 2, 2013.