Individual provider · Type 1 NPI
Brenda Shores, LICSW
Clinical Social Worker · St. Paul, MN
Practice location
1821 University Ave W, Suite N 464
St. Paul, MN 55104-2801
Fax (651) 645-7307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 12470 (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 1619124716
Brenda Shores, LICSW's National Provider Identifier is 1619124716, issued on Aug 20, 2008. 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 Aug 20, 2008.