Individual provider · Type 1 NPI

Jean Louise Fagerstrom, MSW, LICSW

Clinical Social Worker · Roseville, MN

NPI number 1861963118 Active

Practice location

2233 Hamline Ave N Ste 435
Roseville, MN 55113-5023

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed

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 1861963118

Jean Louise Fagerstrom, MSW, LICSW's National Provider Identifier is 1861963118, issued on Dec 16, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseville, MN. The record was last updated on Dec 16, 2018.