Individual provider · Type 1 NPI

Amanda Rae Radtke, MSW, LICSW

Clinical Social Worker · Cloquet, MN

NPI number 1679938724 Active

Practice location

40 11th St
Cloquet, MN 55720-1817

Call (218) 879-4559 Map

Fax (218) 879-0282

Mailing address

1401 E 1st St
Duluth, MN 55805-2407

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X22551 (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 1679938724

Amanda Rae Radtke, MSW, LICSW's National Provider Identifier is 1679938724, issued on Dec 16, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cloquet, MN. The record was last updated on Dec 16, 2015.