Individual provider · Type 1 NPI

Charissa Jean Bates, LICSW

Clinical Social Worker · Woodbury, MN

NPI number 1679206908 Active

Practice location

8008 Greenbriar Ln
Woodbury, MN 55125-8472

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X18543 (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 1679206908

Charissa Jean Bates, LICSW's National Provider Identifier is 1679206908, issued on Jul 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodbury, MN. The record was last updated on Jul 5, 2022.