Individual provider · Type 1 NPI

Samantha Rae Lake, LICSW

Clinical Social Worker · Brainerd, MN

NPI number 1740852284 Active

Practice location

823 Maple St
Brainerd, MN 56401-3770

Other practice locations

  • 101 9th St SE, Little Falls, MN 56345-3359 · (320) 616-3200

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X26980 (MN)
Clinical Social Worker Primary 1041C0700XNone listed

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 1740852284

Samantha Rae Lake, LICSW's National Provider Identifier is 1740852284, issued on Jul 14, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brainerd, MN. The record was last updated on Aug 21, 2024.