Individual provider · Type 1 NPI

Elise Randall

Clinical Social Worker · Minneapolis, MN

NPI number 1740960665 Active

Practice location

1201 Harmon Pl Ste 103
Minneapolis, MN 55403-2045

Mailing address

7116 W 113th St
Minneapolis, MN 55438-2448

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X126963 (IA)

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 1740960665

Elise Randall's National Provider Identifier is 1740960665, issued on Jul 25, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 10, 2025.