Individual provider · Type 1 NPI

Nicole Rae Other Medicine, MSW, LICSW

Clinical Social Worker · Eagan, MN

NPI number 1881312940 Active

Practice location

4354 Braddock Trl
Eagan, MN 55123-1980

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X19286 (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 1881312940

Nicole Rae Other Medicine, MSW, LICSW's National Provider Identifier is 1881312940, issued on Aug 16, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eagan, MN. The record was last updated on Aug 16, 2022.