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Ms. Earlyn Dorothy Pengelly, MA,MS
Clinical Social Worker in Mankato, Minnesota
NPI 1710004163

Earlyn Dorothy Pengelly is a Clinical Social Worker based in Mankato, MN and is specialized in Clinical. Earlyn Dorothy Pengelly practices in Mankato, MN and has the professional credentials of MA,MS. The NPI Number for Earlyn Dorothy Pengelly is 1710004163 and holds a License No. LP1114 (Minnesota).

The current practice location address for Earlyn Dorothy Pengelly is 430 Patterson Ave, Mankato, MN and can be reached out via phone at 507-388-5801 and via fax at 507-388-2715. You can also correspond with Earlyn Dorothy Pengelly through the mailing address at 430 PATTERSON AVE, MANKATO, MN - 56001-2309 (mailing address contact number: 507-388-5801).

Location: 430 Patterson Ave, Mankato, MN, 56001-2309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710004163
Provider Name
Earlyn Dorothy Pengelly
Credential
MA,MS
Provider Entity Type
Individual
Gender
Female
Address
430 Patterson Ave, Mankato, MN, 56001-2309
Phone Number
507-388-5801
Fax Number
507-388-2715
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
57786PE 01 MN BLUE CROSS BLUE SHIELD
120002 01 MN UCARE INSURANCE
6120605 01 MN MEDICA, UBH
HP28654 01 MN HEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
430 Patterson Ave
City
Mankato
State
Minnesota
Zip
56001-2309
Phone Number
507-388-5801
Fax Number
507-388-2715
person
Provider Business Mailing Address Details
Address
430 Patterson Ave
City
Mankato
State
Minnesota
Zip
56001-2309
Phone Number
507-388-5801
Fax Number
507-388-2715
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
4137 (Minnesota)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
LP1114 (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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