Individual provider · Type 1 NPI

Corrine Patricia Pruitt, LICSW

Clinical Social Worker · Minnetonka, MN

NPI number 1861136103 Active

Practice location

13100 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1810

Mailing address

2250 Plymouth Rd Apt 307
Hopkins, MN 55305-2351

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27009 (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 1861136103

Corrine Patricia Pruitt, LICSW's National Provider Identifier is 1861136103, issued on Apr 22, 2022. 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 25, 2022.