Individual provider · Type 1 NPI

Susan Marie Banal, LICSW

Clinical Social Worker · St. Louis Park, MN

NPI number 1629190814 Active

Practice location

5821 Cedar Lake Rd S
St. Louis Park, MN 55416-1487

Call (651) 647-1900 Map

Fax (651) 647-1861

Mailing address

4502 Timber Woods Ln
Minnetonka, MN 55345-2973

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9380 (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 1629190814

Susan Marie Banal, LICSW's National Provider Identifier is 1629190814, issued on Apr 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis Park, MN. The record was last updated on Apr 19, 2017.