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NPI Code Detail

MEDICARE: MR. WILLIAM ARTHUR METCALFE LICSW

MEDICARE: MR. WILLIAM ARTHUR METCALFE 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 Worker28472MN
21041C0700XClinical Social Worker1372ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1153T6MEOTHERMNBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396831509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM ARTHUR METCALFE LICSW
Provider Business Mailing Address
First Line : 1547 30TH AVE S
Second Line :
City : MOORHEAD
State : MN
Zip : 56560-5149
Country : US
Telephone Number : 218-287-4338
Fax Number : 218-287-5928
Provider Business Practice Location Address
First Line : 1041 HAWK ST
Second Line :
City : DETROIT LAKES
State : MN
Zip : 56501-6958
Country : US
Telephone Number : 218-844-6853
Fax Number : 218-844-6854
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 10/16/2025

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