Individual provider · Type 1 NPI
Mary Beth Fagin, LICSW
Clinical Social Worker · Minnetonka, MN
Practice location
14501 Atrium Way Apt 239
Minnetonka, MN 55345-4762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6206 (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 1801970819
Mary Beth Fagin, LICSW's National Provider Identifier is 1801970819, issued on Oct 25, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minnetonka, MN. The record was last updated on May 28, 2026.