Individual provider · Type 1 NPI

Tasha Novotny, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1689326472 Active

Practice location

1422 W Lake St Ste 206
Minneapolis, MN 55408-2616

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X19225 (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 1689326472

Tasha Novotny, LICSW's National Provider Identifier is 1689326472, issued on Jan 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 12, 2025.