Individual provider · Type 1 NPI

Kathryn Elison, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1740642214 Active

Practice location

2512 S 7th St, Pediatric Specialty Clinic
Minneapolis, MN 55454-1404

Call (612) 365-6777 Map

Fax (612) 365-8001

Mailing address

717 Delaware St SE, Mail Code 1932
Minneapolis, MN 55414-2959

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X23063 (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 1740642214

Kathryn Elison, LICSW's National Provider Identifier is 1740642214, issued on Mar 24, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 24, 2016.