Individual provider · Type 1 NPI

Ginger Lyn Pederson, LICSW

Clinical Social Worker · St. Cloud, MN

NPI number 1891923272 Active

Practice location

3950 3rd St N
St. Cloud, MN 56303-4033

Call (320) 253-5930 Map

Fax (320) 258-4632

Mailing address

1201 25th St S, PO Box 9859
Fargo, ND 58103-2311

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2761 (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 1891923272

Ginger Lyn Pederson, LICSW's National Provider Identifier is 1891923272, issued on Jun 24, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Cloud, MN. The record was last updated on Jun 24, 2009.