Individual provider · Type 1 NPI

Pam L. Fore, LICSW

Clinical Social Worker · Brainerd, MN

NPI number 1861533630 Active

Practice location

520 NW 5th St
Brainerd, MN 56401-2902

Call (218) 829-3235 Map

Mailing address

16610 1st St
Riverton, MN 56455-1134

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10461 (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 1861533630

Pam L. Fore, LICSW's National Provider Identifier is 1861533630, issued on Feb 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brainerd, MN. The record was last updated on Jul 8, 2007.