Individual provider · Type 1 NPI

Elise Broderick Quam, MSW, LICSW

Clinical Social Worker · Eagan, MN

NPI number 1891269155 Active

Practice location

3450 Oleary Ln
Eagan, MN 55123

Call (651) 454-0114 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X25498 (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 1891269155

Elise Broderick Quam, MSW, LICSW's National Provider Identifier is 1891269155, issued on Jan 18, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eagan, MN. The record was last updated on Jan 18, 2019.