Individual provider · Type 1 NPI

Ryan Alan Petros, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1821387093 Active

Practice location

2110 Lyndale Ave S
Minneapolis, MN 55405-3196

Call (612) 825-8714 Map

Mailing address

1825 Chicago Ave
Minneapolis, MN 55404-1939

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X18183 (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 1821387093

Ryan Alan Petros, LICSW's National Provider Identifier is 1821387093, issued on Mar 28, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 28, 2011.