Individual provider · Type 1 NPI

Christopher Fennema, MSW, LICSW

Clinical Social Worker · Brainerd, MN

NPI number 1689246076 Active

Practice location

520 NW 5th St
Brainerd, MN 56401-2902

Fax (218) 829-1368

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X25627 (MN)
Clinical Social Worker Primary 1041C0700X25627 (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 1689246076

Christopher Fennema, MSW, LICSW's National Provider Identifier is 1689246076, issued on Jul 14, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brainerd, MN. The record was last updated on Nov 8, 2023.