Bethany Jean Mattson MSW, LICSW

  • NPI 1902027881
According to our database, the NPI number for Bethany Jean Mattson MSW, LICSW is 1902027881 and activated since 17 years ago. Bethany Jean Mattson MSW, LICSW is an individual provider who specializes in Clinical, and the primary practice location is 4027 County Road 25, St Louis Park, MN 55416. You can also contact Bethany Jean Mattson MSW, LICSW via telephone number is (612) 925-6033. Provider NPI information was last updated on 11/05/2018.

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Overview of Bethany Jean Mattson MSW, LICSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/01/2007
  • Last updated: 11/05/2018

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 15605
  • License State: MN

Provider Mailing Address

  • Address: 4240 Park Glen Rd
    St Louis Park, MN 55416
  • Phone: 612-925-6033
  • Fax: 612-925-8496

Provider Practice Location

  • Address: 4027 County Road 25
    St Louis Park, MN 55416
  • Phone: 612-925-6033
  • Fax: 612-925-8496

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 15605
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 719140000
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MN
  • Issuer:

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 Bethany Jean Mattson MSW, LICSW?
  • A: The npi number for Bethany Jean Mattson MSW, LICSW is 1902027881.
  • Q: What are Bethany Jean Mattson MSW, LICSW's specialties?
  • A: Bethany Jean Mattson MSW, LICSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Bethany Jean Mattson MSW, LICSW?
  • A: The medical license number for Bethany Jean Mattson MSW, LICSW is 15605 and issued in MN in USA.
  • Q: Where is Bethany Jean Mattson MSW, LICSW practice location?
  • A: Bethany Jean Mattson MSW, LICSW is practicing at 4027 County Road 25, St Louis Park, MN 55416.
  • Q: How to contact Bethany Jean Mattson MSW, LICSW?
  • A: You can contact Bethany Jean Mattson MSW, LICSW via 612-925-6033.
Medicare Specialty
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Sports Medicine
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