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NPI Code Detail

MEDICARE: MICAELA LICHTENSTEIN

MEDICARE: MICAELA LICHTENSTEIN
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 Worker28970MN

General Provider Information

NPI Number : 1487336343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICAELA LICHTENSTEIN
Provider Business Mailing Address
First Line : 2450 RIVERSIDE AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-1450
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2450 RIVERSIDE AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-1450
Country : US
Telephone Number : 612-273-5640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2023
Last Update Date : 02/15/2026

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Directions to “ MICAELA LICHTENSTEIN ” Practice Location

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