Individual provider · Type 1 NPI

Lori Jill Charbonneau, LICSW

Clinical Social Worker · Mandan, ND

NPI number 1700074341 Active

Practice location

2401 46th Ave SE Ste 201
Mandan, ND 58554-4829

Fax (701) 989-7030

Mailing address

3425 Heartwood Cir SE
Mandan, ND 58554-6245

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1526 (ND)

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 1700074341

Lori Jill Charbonneau, LICSW's National Provider Identifier is 1700074341, issued on Oct 9, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mandan, ND. The record was last updated on Sep 12, 2022.