Individual provider · Type 1 NPI

Ricardo Polendo, LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1730567926 Active

Practice location

402 University Ave E
St. Paul, MN 55130-4400

Fax (651) 266-7854

Mailing address

967 Lydia Dr W
Roseville, MN 55113-1924

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X19800 (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 1730567926

Ricardo Polendo, LICSW's National Provider Identifier is 1730567926, issued on May 8, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on May 8, 2015.