Autumn Michelle Phenow MSW, LICSW

  • NPI 1154980068
According to our database, the NPI number for Autumn Michelle Phenow MSW, LICSW is 1154980068 and activated since 4 years ago. Autumn Michelle Phenow MSW, LICSW is an individual provider who specializes in Clinical, and the primary practice location is 6341 University Ave Ne, Fridley, MN 55432. You can also contact Autumn Michelle Phenow MSW, LICSW via telephone number is (612) 672-6999. Provider NPI information was last updated on 08/22/2019.

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Overview of Autumn Michelle Phenow MSW, LICSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/13/2019
  • Last updated: 08/22/2019

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 22651
  • License State: MN

Provider Mailing Address

  • Address: 2785 White Bear Ave N Ste 403
    Maplewood, MN 55109
  • Phone: 651-395-5775
  • Fax:

Provider Practice Location

  • Address: 6341 University Ave Ne
    Fridley, MN 55432
  • Phone: 612-672-6999
  • Fax:

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 22651
  • License State: MN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Autumn Michelle Phenow MSW, LICSW?
  • A: The npi number for Autumn Michelle Phenow MSW, LICSW is 1154980068.
  • Q: What are Autumn Michelle Phenow MSW, LICSW's specialties?
  • A: Autumn Michelle Phenow MSW, LICSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Autumn Michelle Phenow MSW, LICSW?
  • A: The medical license number for Autumn Michelle Phenow MSW, LICSW is 22651 and issued in MN in USA.
  • Q: Where is Autumn Michelle Phenow MSW, LICSW practice location?
  • A: Autumn Michelle Phenow MSW, LICSW is practicing at 6341 University Ave Ne, Fridley, MN 55432.
  • Q: How to contact Autumn Michelle Phenow MSW, LICSW?
  • A: You can contact Autumn Michelle Phenow MSW, LICSW via 612-672-6999.