Individual provider · Type 1 NPI

Elizabeth Leslie Wittenberg, J.D., LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1700104130 Active

Practice location

3108 Hennepin Ave S
Minneapolis, MN 55408-2619

Fax (612) 825-1504

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	18591 (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 1700104130

Elizabeth Leslie Wittenberg, J.D., LICSW's National Provider Identifier is 1700104130, issued on May 10, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 21, 2010.