Individual provider · Type 1 NPI

Lyle Gene Elenkiwich, MSW, LICSW

Clinical Social Worker · Ham Lake, MN

NPI number 1649461245 Active

Practice location

2311 146th Ave NE
Ham Lake, MN 55304-6408

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11797 (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 1649461245

Lyle Gene Elenkiwich, MSW, LICSW's National Provider Identifier is 1649461245, issued on Aug 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ham Lake, MN. The record was last updated on Aug 8, 2007.