Individual provider · Type 1 NPI

Anthony Wilson

Clinical Social Worker · St. Louis Park, MN

NPI number 1659358562 Active

Practice location

3800 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Call (952) 883-1000 Map

Mailing address

8170 33rd Ave S, PO Box 1309 Mail Stop 21110Q
Minneapolis, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X14437 (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 1659358562

Anthony Wilson's National Provider Identifier is 1659358562, issued on Dec 30, 2005. 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 Jun 22, 2016.