Individual provider · Type 1 NPI

Mary Soule Geidner, LICSW

Clinical Social Worker · Duluth, MN

NPI number 1780882944 Active

Practice location

615 Pecan Ave
Duluth, MN 55811-2749

Other practice locations

  • 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 · (218) 786-3540
  • 3500 Tower Ave, Superior, WI 54880-4491 · (715) 817-7100

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X149008771 (IL)
Clinical Social Worker 1041C0700X9526-123 (WI)
Clinical Social Worker Primary 1041C0700X19635 (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 1780882944

Mary Soule Geidner, LICSW's National Provider Identifier is 1780882944, issued on Jul 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Duluth, MN. The record was last updated on Dec 2, 2021.