MEDICARE: STEPHEN HUEBSCHWERLEN 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
1	104100000X	Social Worker	200	ND

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200	OTHER	ND	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528268539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN HUEBSCHWERLEN LICSW

Provider Business Mailing Address
First Line	:	600 S 2ND ST
Second Line	:	SUITE 215
City	:	BISMARCK
State	:	ND
Zip	:	58504-5729
Country	:	US
Telephone Number	:	701-751-1549
Fax Number	:	701-751-1549

Provider Business Practice Location Address
First Line	:	600 S 2ND ST
Second Line	:	SUITE 215
City	:	BISMARCK
State	:	ND
Zip	:	58504-5729
Country	:	US
Telephone Number	:	701-751-1549
Fax Number	:	701-751-1549

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

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	05/20/2016

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