Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STEPHANIE A BUMGARDNER, M.S.W., L.I.C.S.W
Active Sole ProprietorMRS. STEPHANIE A BUMGARDNER, M.S.W., L.I.C.S.W is a Clinical Social Worker healthcare provider located in BEMIDJI, Minnesota. NPI 1306080197 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BEMIDJI, MN
Registration Details
- NPI Number
- 1306080197
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2009 (17.28610838005 yrs)
- Last Updated
- Mar 30, 2022
- Licenses
-
16568 (MN)16568 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1526 30TH ST NWBEMIDJI, MN, 566014140Browse MN providers · Browse ZIP 56601
- Phone
- 2187510887
- Fax
- 2187594807
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in BEMIDJI, MN
| Name | Credential | NPI |
|---|---|---|
| GERI C WILIMEK | LICSW | 1154328649 |
| MS. TAMARA LONELLE MASON | MSW LICSW | 1205813581 |
| KATHRYN JANE FAVER | LICSW | 1639188543 |
| TAMMY JAN JEDLICKA | MSW, LICSW | 1982702361 |
| MRS. KIMBERLY JEAN SLETTA AVENSON | MSW, LICSW | 1154422012 |
| DONALD RAY TURK | LICSW | 1326139114 |
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.