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NPI Code Detail

MEDICARE: BETH M. HEMMING LICSW

MEDICARE: BETH M. HEMMING 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
11041C0700XClinical Social Worker2041ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
250B56HEOTHERMNBCBSMN PROVIDER NUMBER
3014194OTHERNDBCBS ND PROVIDER NUMBER

General Provider Information

NPI Number : 1326087107
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH M. HEMMING LICSW
Provider Business Mailing Address
First Line : 151 S 4TH ST
Second Line : SUITE 401
City : GRAND FORKS
State : ND
Zip : 58201-4715
Country : US
Telephone Number : 701-795-3000
Fax Number : 701-795-3050
Provider Business Practice Location Address
First Line : 151 S 4TH ST
Second Line : SUITE 401
City : GRAND FORKS
State : ND
Zip : 58201-4715
Country : US
Telephone Number : 701-795-3000
Fax Number : 701-795-3050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 01/23/2009

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Directions to “ BETH M. HEMMING LICSW” Practice Location

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