Individual provider · Type 1 NPI
Kyle Gregory Cloutier, LICSW
Clinical Social Worker · Mendota Heights, MN
Practice location
1120 Centre Pointe Dr Ste 100, #100
Mendota Heights, MN 55120-1275
Fax (952) 891-4258
Mailing address
PO Box 240125
Apple Valley, MN 55124-0125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 13976 (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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- Anthony Robert Turner, LICSWClinical Social Worker Mendota Heights, MN NPI 1104325927
- Evy Christine Hultgren, LICSWClinical Social Worker Mendota Heights, MN NPI 1104433416
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About NPI 1871646216
Kyle Gregory Cloutier, LICSW's National Provider Identifier is 1871646216, issued on Jan 19, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mendota Heights, MN. The record was last updated on Jul 24, 2020.