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1346280435

NPI Code Detail

MEDICARE: COLEEN R MAY MSW

MEDICARE: COLEEN R MAY MSW

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
1	171M00000X	Case Manager/Care Coordinator
2	1041C0700X	Clinical Social Worker	2753	ND
3	1041C0700X	Clinical Social Worker	12248	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16R44MA	OTHER	FM	BLLUE SHIELD OF MINNESOTA
2	17786	OTHER	MN	NORTH DAKOTA BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1016218	OTHER	MN	PREFERREDONE
5	HP27801	OTHER	MN	HEALTHPARTNERS
6	111699	OTHER	MN	UCARE MINNESOTA

General Provider Information

NPI Number	:	1346280435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLEEN R MAY MSW

Provider Business Mailing Address
First Line	:	338 15TH ST S
Second Line	:
City	:	MOORHEAD
State	:	MN
Zip	:	56560-3036
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2624 9TH AVE S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58103-2350
Country	:	US
Telephone Number	:	701-298-4500
Fax Number	:	701-298-4400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	09/09/2020

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Directions to “ COLEEN R MAY MSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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