Individual provider · Type 1 NPI

Mizuho Yamamoto, LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1821870577 Active

Practice location

2446 University Ave W Ste 104
St. Paul, MN 55114-1945

Fax (612) 524-5527

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X31109 (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 1821870577

Mizuho Yamamoto, LICSW's National Provider Identifier is 1821870577, issued on Oct 17, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Oct 30, 2025.