Individual provider · Type 1 NPI

Mary Wetherall, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1881570919 Active

Practice location

730 E 38th St
Minneapolis, MN 55407-5217

Call (612) 217-0584 Map

Mailing address

2949 Benjamin St NE
Minneapolis, MN 55418-2305

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X31509 (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 1881570919

Mary Wetherall, LICSW's National Provider Identifier is 1881570919, issued on Aug 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 13, 2025.