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Contact Information

CHERLEIGH CARPENTER, EDD, LICSW, LADC, MH
3333 N 4TH ST
MINNEAPOLIS, MN55412-2615
 Phone: 612-767-8671
 Fax: 612-827-1215
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CHERLEIGH CARPENTER · (Female)

NPI # 1558800136
Status Active
Credentials EDD, LICSW, LADC, MH
Entity Individual
Enumeration date 02/16/2017
Last updated 02/19/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 27427
  • MN License # 307009
  • MN License # 390200000X
  • MN License # SEE-103TC2200X
  • MN Other 1558800136 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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