Individual provider · Type 1 NPI

David John Roseborough, PhD, LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1861552259 Active

Practice location

2230 Como Ave
St. Paul, MN 55108-1720

Call (651) 635-0095 Map

Fax (651) 635-0454

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12199 (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 1861552259

David John Roseborough, PhD, LICSW's National Provider Identifier is 1861552259, issued on Dec 8, 2006. 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 May 1, 2009.