MEDICARE: LOG CABIN PSYCHOTHERAPY INC

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	1041C0700X	Clinical Social Worker	8214	MN

General Provider Information

NPI Number	:	1699794826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOG CABIN PSYCHOTHERAPY INC

Provider Business Mailing Address
First Line	:	3920 13TH AVE E
Second Line	:	SUITE 6
City	:	HIBBING
State	:	MN
Zip	:	55746-3675
Country	:	US
Telephone Number	:	218-263-7540
Fax Number	:	866-732-0699

Provider Business Practice Location Address
First Line	:	7217 ELY LAKE DR
Second Line	:
City	:	EVELETH
State	:	MN
Zip	:	55734-4007
Country	:	US
Telephone Number	:	218-744-0284
Fax Number	:	218-744-2446

Authorized Official
Title or Position	:	OWNER
Name	:	CATHERINE E ANDERSON
Credential	:	MS, LICSW
Telephone Number	:	218-744-0284

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1750248225 — MADISON MAROSTE DC
Practice Location Address:

227 GRANT AVE
EVELETH, MN
55734-1521

Practice Phone: 218-744-1910
Practice Fax:

1225034499 — ARROWHEAD SENIOR LIVING COMMUNITY
Practice Location Address:

601 GRANT AVE
EVELETH, MN
55734-1314

Practice Phone: 218-744-9800
Practice Fax: 218-744-9829

1396737417 — EVELETH HOSPITAL, INC
Practice Location Address:

227 MCKINLEY AVE
EVELETH, MN
55734-1606

Practice Phone: 218-744-1950
Practice Fax: 218-744-3868

1548241938 — DR. MATTHEW ARNOLD GAHN O.D.
Practice Location Address:

420 GRANT AVENUE
EVELETH, MN
55734-1311

Practice Phone: 218-744-4528
Practice Fax: 218-744-1899

1013954460 — EVELETH MENTAL HEALTH SERVICES SOCS
Practice Location Address:

227 MCKINLEY AVE
EVELETH, MN
55734-1606

Practice Phone: 218-485-5000
Practice Fax:

1194767798 — JONS DRUG INC
Practice Location Address:

318 GRANT AVE
EVELETH, MN
55734-1524

Practice Phone: 218-744-2774
Practice Fax: 218-744-5878

Directions to “LOG CABIN PSYCHOTHERAPY INC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.