Samantha Rae Lake, LICSW
Samantha Rae Lake, LICSW is a Social Worker in Brainerd, Minnesota. Works from 2 locations. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
823 Maple StBrainerd, MN 56401-3770
Phone: (218) 454-3826
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 101 9th St Se, Little Falls, MN 56345-3359 — (320) 616-3200
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence 26980 (MN) |
Record details
| NPI number | 1740852284 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICSW |
| Sole proprietor | No |
| NPI enumerated | July 14, 2021 |
| Last updated in NPPES | August 21, 2024 |
| Certification date | August 21, 2024 |
Other providers in Brainerd
-
Christopher Fennema, MSW, LICSW
520 NW 5th St, Brainerd, MN 56401-2902 · (188) 293-2352
-
Tamara Kmecik, LICSW
606 Frnt ST, Brainerd, MN 56401-3602 · (320) 360-8486
-
Catherine M Munson, LGSW
1024 Thiesse Rd, Brainerd, MN 56401-6532 · (218) 245-4118