Individual provider · Type 1 NPI

Vicki J. Serum, MA, LICSW

Clinical Social Worker · Baxter, MN

NPI number 1831149145 Active

Practice location

13073 Evergreen Dr
Baxter, MN 56425-7443

Fax (218) 824-9507

Mailing address

7352 Ojibwa Rd
Brainerd, MN 56401-7039

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6699LICSW (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 1831149145

Vicki J. Serum, MA, LICSW's National Provider Identifier is 1831149145, issued on May 10, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baxter, MN. The record was last updated on Oct 30, 2007.