Organization · Type 2 NPI
The Divergent Grove Therapy LLC
Clinical Social Worker · Eagan, MN
Practice location
4753 Narvik Drive
Eagan, MN 55122
Fax (651) 705-7077
Mailing address
7851 Metro Pkwy, #115 PMB1099
Bloomington, MN 55425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1811870306
The Divergent Grove Therapy LLC's National Provider Identifier is 1811870306, issued on Jul 30, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eagan, MN. The record was last updated on Jul 30, 2025.