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Ebony Gums, LICSW
Clinical Social Worker in Minneapolis, Minnesota
NPI 1841800315

Ebony Gums is a Clinical Social Worker based in Waterloo, MN and is specialized in Clinical. Ebony Gums practices in Minneapolis, MN and has the professional credentials of LICSW. The NPI Number for Ebony Gums is 1841800315 and holds a License No. 22523 (Minnesota).

The current practice location address for Ebony Gums is 6111 Nicollet Ave, Minneapolis, MN and can be reached out via phone at 612-323-1040.

Location: 6111 Nicollet Ave, Minneapolis, MN, 50703-3317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841800315
Provider Name
Ebony Gums
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
6111 Nicollet Ave, Minneapolis, MN, 50703-3317
Phone Number
612-323-1040
Fax Number
Provider Enumeration Date
08/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6111 Nicollet Ave
City
Minneapolis
State
Minnesota
Zip
55419-2560
Phone Number
612-323-1040
Fax Number
person
Provider Business Mailing Address Details
Address
6111 Nicollet Ave
City
Minneapolis
State
Minnesota
Zip
55419-2560
Phone Number
612-323-1040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
22523 (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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