Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BLAINE ROBERT BOVERHUIS, MSW, LICSW
Active Sole ProprietorMR. BLAINE ROBERT BOVERHUIS, MSW, LICSW is a Clinical Social Worker healthcare provider located in EDINA, Minnesota. NPI 1275210338 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · EDINA, MN
Registration Details
- NPI Number
- 1275210338
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2023 (3.1026839762461 yrs)
- Last Updated
- Jun 30, 2023
- License
-
19085 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6401 FRANCE AVE SEDINA, MN, 554352104Browse MN providers · Browse ZIP 55435
- Phone
- 9529242888
- Fax
- 9529242880
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in EDINA, MN
| Name | Credential | NPI |
|---|---|---|
| JOHN MICHAEL BENDA | LICSW | 1194723288 |
| MR. THEODORE EDWARD LOBBY | MSW | 1124007018 |
| MS. MARSHA BERNADETTE MCDONALD | LICSW | 1972616753 |
| BRYAN J KINGSRITER | LICSW,LMFT | 1407951544 |
| MR. THOMAS EUGENE WILLIAMS | MSW LICSW | 1255431003 |
| MS. GINA RACHEL SCHUCHMAN | M.S.W. | 1114014016 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.