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MOORHEAD COUNSELING PLLC NPI 1679110969


NPI Information

NPI: 1679110969
Provider Name: MOORHEAD COUNSELING PLLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 24D1082802

Address:
1500 30TH AVE S STE C
MOORHEAD, MN
ZIP 56560
Phone: (218) 451-3614
Get Directions

MOORHEAD COUNSELING PLLC is a clinical social worker in Moorhead, 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. MOORHEAD COUNSELING PLLC NPI is 1679110969. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1500 30TH AVE S STE C
MOORHEAD, MN
ZIP 56560-146
Phone: (218) 451-3614

The provider's authorized official is Natasha Braseth .
The authorized official title is Owner and has the following contact phone number (218) 451-3614.

The CLIA number assigned to this NPI record is 24D1082802 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2019 and was last updated on 1/31/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes

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: 5/5/2024

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