Individual provider · Type 1 NPI

Charly Candas Vangrinsven, B.S., LADC

Clinical Social Worker · Bemidji, MN

NPI number 1982077541 Active

Practice location

1705 Anne St NW
Bemidji, MN 56601-6151

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X303368 (MN)
Addiction (Substance Use Disorder) Counselor 101YA0400X1051960 (MN)
Clinical Social Worker Primary 1041C0700X27157 (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 1982077541

Charly Candas Vangrinsven, B.S., LADC's National Provider Identifier is 1982077541, issued on Nov 4, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bemidji, MN. The record was last updated on Oct 16, 2024.