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NPI Code Detail

MEDICARE: ELIZABETH ANNE SCHNEIDER-BATEMAN MSW, LMSW

MEDICARE: ELIZABETH ANNE SCHNEIDER-BATEMAN MSW, LMSW
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
11041C0700XClinical Social Worker6801094335MI
21041C0700XClinical Social Worker
31041C0700XClinical Social Worker23712MN

General Provider Information

NPI Number : 1982004073
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE SCHNEIDER-BATEMAN MSW, LMSW
Provider Business Mailing Address
First Line : 1032 GRAND AVE STE 202
Second Line :
City : SAINT PAUL
State : MN
Zip : 55105-3064
Country : US
Telephone Number : 612-237-0459
Fax Number :
Provider Business Practice Location Address
First Line : 1032 GRAND AVE STE 202
Second Line :
City : SAINT PAUL
State : MN
Zip : 55105-3064
Country : US
Telephone Number : 612-237-0459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2014
Last Update Date : 06/28/2023

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