Individual provider · Type 1 NPI
Kathryn Gandolph, LICSW
Clinical Social Worker · St. Paul, MN
Practice location
2230 Como Ave
St. Paul, MN 55108-1720
Fax (651) 641-6190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 19844 (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 1891060562
Kathryn Gandolph, LICSW's National Provider Identifier is 1891060562, issued on Mar 14, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Mar 14, 2012.