Individual provider · Type 1 NPI

Julian Sanborn, PhD, LICSW, SEP

Clinical Social Worker · St. Louis Park, MN

NPI number 1710507587 Active

Practice location

5353 Wayzata Blvd Ste 202
St. Louis Park, MN 55416-1316

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28425 (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 1710507587

Julian Sanborn, PhD, LICSW, SEP's National Provider Identifier is 1710507587, issued on Apr 22, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis Park, MN. The record was last updated on Apr 22, 2020.