Individual provider · Type 1 NPI

Lauren Grace Ivester Tetrault, MSW, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1871285585 Active

Practice location

310 Clifton Ave
Minneapolis, MN 55403-3218

Call (612) 223-8898 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X33540 (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 1871285585

Lauren Grace Ivester Tetrault, MSW, LICSW's National Provider Identifier is 1871285585, issued on May 22, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 7, 2026.