Individual provider · Type 1 NPI

Peter Lyle Noteboom, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1952996894 Active

Practice location

1313 Penn Ave N
Minneapolis, MN 55411-3047

Call (612) 543-2500 Map

Mailing address

4235 Tyler St NE
Columbia Heights, MN 55421-3242

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27334 (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 1952996894

Peter Lyle Noteboom, LICSW's National Provider Identifier is 1952996894, issued on Mar 3, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 17, 2021.