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NPI Code Detail

MEDICARE: JAIME BARTELS

MEDICARE: JAIME BARTELS
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 Worker

General Provider Information

NPI Number : 1639002777
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME BARTELS
Provider Business Mailing Address
First Line : 2450 RIVERSIDE AVE # VAE
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 # VAE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-1450
Country : US
Telephone Number : 612-365-8521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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