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NPI Code Detail

MEDICARE: HANNAH ELIZABETH FROST MSW, LICSW

MEDICARE:   HANNAH ELIZABETH FROST  MSW, LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker29115MN
21041C0700XClinical Social Worker29115MN

General Provider Information

NPI Number : 1790407658
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ELIZABETH FROST MSW, LICSW
Provider Business Mailing Address
First Line : 1620 GREENVIEW DR SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-4319
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1620 GREENVIEW DR SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-4319
Country : US
Telephone Number : 507-535-5719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2022
Last Update Date : 02/15/2023

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Directions to “ HANNAH ELIZABETH FROST MSW, LICSW” Practice Location

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