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SOUTH METRO HUMAN SERVICES NPI 1578642757


NPI Information

NPI: 1578642757
Provider Name: SOUTH METRO HUMAN SERVICES

Other Name: MENTAL HEALTH CLINIC

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
166 4TH ST E
SAINT PAUL, MN
ZIP 55101
Phone: (651) 291-1979
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SOUTH METRO HUMAN SERVICES is a clinical social worker in Saint Paul, MN. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. SOUTH METRO HUMAN SERVICES NPI is 1578642757. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mental Health Clinic.

The provider's business location address is:

166 4TH ST E
SAINT PAUL, MN
ZIP 55101-421
Phone: (651) 291-1979
Fax: (651) 291-7378

The provider's authorized official is Tom Paul .
The authorized official title is President and has the following contact phone number (651) 256-1234.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 5/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
31041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1719178200MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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