Individual provider · Type 1 NPI

Mya Gietzen

Clinical Social Worker · Moorhead, MN

NPI number 1992561625 Active

Practice location

4000 28th Ave S
Moorhead, MN 56560-7926

Call (701) 234-3200 Map

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice locations

  • 801 Broadway N, Fargo, ND 58102-3641 · (701) 234-2000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6684 (ND)
Social Worker 104100000X6684 (ND)
Clinical Social Worker Primary 1041C0700X35469 (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 1992561625

Mya Gietzen's National Provider Identifier is 1992561625, issued on Feb 21, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moorhead, MN. The record was last updated on Mar 3, 2026.