Individual provider · Type 1 NPI
Song Lor Anderson, LICSW
Clinical Social Worker · Champlin, MN
Practice location
11205 Virginia Ave N
Champlin, MN 55316-3765
Fax (763) 315-1401
Mailing address
11205 Virginia Ave. N.
Champlin, MN 55316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 15521 (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 1669659520
Song Lor Anderson, LICSW's National Provider Identifier is 1669659520, issued on Jan 23, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Champlin, MN. The record was last updated on Jan 23, 2008.