Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAISIE BLAINE, MSW, LICSW
Active Sole ProprietorMAISIE BLAINE, MSW, LICSW is a Clinical Social Worker healthcare provider located in COHASSET, Minnesota. NPI 1396211629 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · COHASSET, MN
Registration Details
- NPI Number
- 1396211629
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 13, 2018 (7.8371724774796 yrs)
- Last Updated
- Oct 13, 2018
- License
-
17369 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28361 SUNSET POINT RDCOHASSET, MN, 557212044Browse MN providers · Browse ZIP 55721
- Phone
- 2183019650
- Primary Specialty
-
Clinical Social Worker
1041C0700X
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.