Individual
CAITLIN ANNE SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
(612) 668-0000
Mailing address
2723 CLEVELAND ST NE, MINNEAPOLIS, MN 55418-3110
(602) 625-1627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29014
MN
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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