Individual provider · Type 1 NPI

Jessica Fanberg

Clinical Social Worker · Coon Rapids, MN

NPI number 1679947543 Active

Practice location

3833 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-2599

Call (763) 767-3350 Map

Fax (763) 747-0912

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X18522 (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 1679947543

Jessica Fanberg's National Provider Identifier is 1679947543, issued on Nov 16, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coon Rapids, MN. The record was last updated on Nov 16, 2015.