Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ronald Lake, MSWLICSW

Individual provider Clinical Social Worker · NPI 1487959698

Mr. Ronald Lake, MSWLICSW is a Clinical Social Worker in Duluth, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2011

Practice location Address checks out

215 N 1st Ave E
Duluth, MN 55802-2058
Phone: (218) 590-1894
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15686 (MN)

Record details

NPI number1487959698
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLICSW
Sole proprietorYes
NPI enumeratedJanuary 19, 2011
Last updated in NPPESJanuary 19, 2011

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