Individual provider · Type 1 NPI

Susan Ann Dustin, LICSW

Clinical Social Worker · Eagan, MN

NPI number 1659526622 Active

Practice location

4655 Nicols Rd, Suite 206
Eagan, MN 55122-3425

Call (952) 936-2800 Map

Fax (651) 405-0358

Mailing address

7171 Mid Oaks Ave N
Stillwater, MN 55082-5233

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7722 (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 1659526622

Susan Ann Dustin, LICSW's National Provider Identifier is 1659526622, issued on Nov 18, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eagan, MN. The record was last updated on Nov 18, 2008.