Individual provider · Type 1 NPI
Colette Rose Neron Ellenbecker, LICSW
Clinical Social Worker · St. Cloud, MN
Practice location
3701 12th St N, Suite 203
St. Cloud, MN 56303-2255
Fax (218) 631-7043
Mailing address
1900 Silver Lake Rd NW, Suite 110
New Brighton, MN 55112-1786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 10224 (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 1912267287
Colette Rose Neron Ellenbecker, LICSW's National Provider Identifier is 1912267287, issued on May 21, 2012. 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 May 20, 2015.