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Ms. Charlene Mayson Portnoy, LICSWLMFT
Marriage & Family Therapist in St Louis Park, Minnesota
NPI 1578691606

Charlene Mayson Portnoy is a Marriage & Family Therapist based in St Louis Park, MN. Charlene Mayson Portnoy practices in St Louis Park, MN and has the professional credentials of LICSWLMFT. The NPI Number for Charlene Mayson Portnoy is 1578691606 and holds a License No. 01769 (Minnesota).

The current practice location address for Charlene Mayson Portnoy is 6465 Wayzata Blvd Ste 355, St Louis Park, MN and can be reached out via phone at 612-760-2859 and via fax at 612-926-8915.

Location: 6465 Wayzata Blvd Ste 355, St Louis Park, MN, 55426-1730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578691606
Provider Name
Charlene Mayson Portnoy
Credential
LICSWLMFT
Provider Entity Type
Individual
Gender
Female
Address
6465 Wayzata Blvd Ste 355, St Louis Park, MN, 55426-1730
Phone Number
612-760-2859
Fax Number
612-926-8915
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
158T5P0 01 MN BLUE CROSS BLUE SHIELD
6299260 01 MN MEDICA
institution
Provider Business Practice Location Address Details
Address
6465 Wayzata Blvd Ste 355
City
St Louis Park
State
Minnesota
Zip
55426-1730
Phone Number
612-760-2859
Fax Number
612-926-8915
person
Provider Business Mailing Address Details
Address
6465 Wayzata Blvd Ste 355
City
St Louis Park
State
Minnesota
Zip
55426-1730
Phone Number
612-760-2859
Fax Number
612-926-8915
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
0361 (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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
01769 (Minnesota)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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