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NPI Code Detail

MEDICARE: KATHRYN WEGLER L.C.S.W.

MEDICARE:   KATHRYN  WEGLER  L.C.S.W.
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 Worker22826MN
21041C0700XClinical Social Worker55743TX

General Provider Information

NPI Number : 1881061455
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN WEGLER L.C.S.W.
Provider Business Mailing Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 612-262-5000
Fax Number :
Provider Business Practice Location Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 866-603-0016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2015
Last Update Date : 01/13/2026

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Directions to “ KATHRYN WEGLER L.C.S.W.” Practice Location

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