Healthcare Provider Details

I. General information

NPI: 1255630265
Provider Name (Legal Business Name): REBECCA MARIE MENSING LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2011
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 S STATE ST
NEW ULM MN
56073-3715
US

IV. Provider business mailing address

1407 S STATE ST
NEW ULM MN
56073-3715
US

V. Phone/Fax

Practice location:
  • Phone: 507-354-3181
  • Fax: 507-354-3183
Mailing address:
  • Phone: 507-354-3181
  • Fax: 507-354-3183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number20614
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: