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ELIZABETH LESLIE WITTENBERG J.D., LICSW
NPI 1700104130
Social Worker - Clinical in Minneapolis, MN

Active since May 10, 2010
3108 HENNEPIN AVE S, MINNEAPOLIS, MN 55408(612) 824-0802(612) 825-1504 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elizabeth Leslie Wittenberg J.d., Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH LESLIE WITTENBERG J.D., LICSW (NPI 1700104130) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (18591) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1700104130
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH LESLIE WITTENBERGCredential: J.D., LICSW
Location Address3108 HENNEPIN AVE SMinneapolis, MN 55408-2619
Mailing Address3108 Hennepin Ave SMinneapolis, MN 55408-2619 · (612) 824-0802 · Fax (612) 825-1504
Phone(612) 824-0802
Fax(612) 825-1504
Sole ProprietorYes
Enumeration DateMay 10, 2010
Last NPPES UpdateOctober 21, 2010
✔ NPI 1700104130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 18591
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.
3108 HENNEPIN AVE S, Minneapolis, MN 55408
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATE SHAW COSGRIFF L.I.C.S.W
Social Worker (Clinical)
3108 HENNEPIN AVE S
MINNEAPOLIS, MN 55408
Hennepin County (646) 678-2288
MRS. LISA ANN DUBOIS-SCHMITZ PSY.D, LP
Psychologist
3108 HENNEPIN AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 819-2036
DIANA CECILIA SNYDER LICSW
Social Worker (Clinical)
3108 HENNEPIN AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 825-4407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Wittenberg's NPI number?

The NPI number for Elizabeth Wittenberg is 1700104130. It was assigned to this individual provider in the NPPES registry on May 10, 2010.

Where is Elizabeth Wittenberg located?

Elizabeth Wittenberg practices at 3108 Hennepin Ave S, Minneapolis, MN 55408. The listed phone number is (612) 824-0802.

What is Elizabeth Wittenberg's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Elizabeth Wittenberg was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.