Individual provider · Type 1 NPI

Andrea Beth Jennings Dyreson, LICSW

Clinical Social Worker · Buffalo, MN

NPI number 1730027772 Active

Practice location

3650 Braddock Ave NE Ste 2100
Buffalo, MN 55313-3675

Fax (763) 682-7701

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	18616 (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 1730027772

Andrea Beth Jennings Dyreson, LICSW's National Provider Identifier is 1730027772, issued on Mar 23, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Buffalo, MN. The record was last updated on Mar 23, 2026.