IndividualActive
Autumn Cole, PHD LP LICSW
NPI 1174615058 · Clinical Social Worker · Virginia, MN
Provider details
- NPI number
- 1174615058
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- PHD LP LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- LP2216 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
624 S 13th St
Virginia, MN 55792
Phone: (218) 749-2881
Fax: (218) 749-3806
Approximate (ZIP-level) locationGet directions
Mailing address
624 S 13th St
Virginia, MN 55792
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.