Individual provider · Type 1 NPI
Bethany Grove, LICSW
Clinical Social Worker · Fridley, MN
Practice location
6000 W Moore Lake Dr NE
Fridley, MN 55432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 27277 (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 1770262008
Bethany Grove, LICSW's National Provider Identifier is 1770262008, issued on Jul 13, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fridley, MN. The record was last updated on Dec 3, 2025.