Individual provider · Type 1 NPI

Gary Goolsbee, LICSW

Clinical Social Worker · Forest Lake, MN

NPI number 1619990793 Active

Practice location

121 11th Ave SE
Forest Lake, MN 55025-1850

Call (651) 251-5220 Map

Fax (651) 251-5279

Mailing address

7066 Stillwater Blvd N
Oakdale, MN 55128-3937

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X00593 (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 1619990793

Gary Goolsbee, LICSW's National Provider Identifier is 1619990793, issued on Jul 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Forest Lake, MN. The record was last updated on Jul 8, 2007.