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Samantha Marie Gregory, LICSW
Clinical Social Worker in New Hope, Minnesota
NPI 1578271094

Samantha Marie Gregory is a Clinical Social Worker based in Edina, MN and is specialized in Clinical. Samantha Marie Gregory practices in New Hope, MN and has the professional credentials of LICSW. The NPI Number for Samantha Marie Gregory is 1578271094 and holds a License No. 26194 (Minnesota).

The current practice location address for Samantha Marie Gregory is 9220 Bass Lake Rd Ste 255, New Hope, MN and can be reached out via phone at 763-225-4052 and via fax at 763-225-3310.

Location: 9220 Bass Lake Rd Ste 255, New Hope, MN, 55439-3079
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578271094
Provider Name
Samantha Marie Gregory
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
9220 Bass Lake Rd Ste 255, New Hope, MN, 55439-3079
Phone Number
763-225-4052
Fax Number
763-225-3310
Provider Enumeration Date
11/14/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093769572 01 MN VONA NPI
1457444978 01 MN TCM NPI
institution
Provider Business Practice Location Address Details
Address
9220 Bass Lake Rd Ste 255
City
New Hope
State
Minnesota
Zip
55428-3019
Phone Number
763-225-4052
Fax Number
763-225-3310
person
Provider Business Mailing Address Details
Address
9220 Bass Lake Rd Ste 255
City
New Hope
State
Minnesota
Zip
55428-3019
Phone Number
763-225-4052
Fax Number
763-225-3310
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
26194 (Minnesota)
Definition
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.
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