Individual
ELIZABETH IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LMFT
Contact information
Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1674
MN
106H00000X
Marriage & Family Therapist
Primary
0247
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G031IV
BCBS
MN
01
—
106231
UC
MN
01
—
17585
HP
MN
01
—
570039
P1
MN
01
—
62-20088
UBH
MN
Enumeration date
07/27/2006
Last updated
09/11/2025
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