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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BEAU JOHN ELKINGTON, LICSW, LADC, MBA

Active

BEAU JOHN ELKINGTON, LICSW, LADC, MBA is a Clinical Social Worker healthcare provider located in FRIDLEY, Minnesota. NPI 1437633575 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FRIDLEY, MN

Registration Details

NPI Number
1437633575
Provider Type
Individual
Gender
Male
NPI Issued
Sep 24, 2018 (7.8616482863062 yrs)
Last Updated
Sep 24, 2018
Licenses
304158 (MN)
22916 (MN)

Practice Information

Address
7590 LYRIC LN NE STE 114
FRIDLEY, MN, 554323251
Browse MN providers · Browse ZIP 55432
Phone
7632364373
Fax
7632364370
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in FRIDLEY, MN

Name Credential NPI
DEANNE MILLER LICSW 1679516611
MRS. CHRISTINE C. KVIDERA MSW, LICSW 1568489649
MRS. KRISTEN MARIE FRITSINGER MSW, LICSW 1407864812
PAUL CARLETON RYALS LICSW 1336152644
MS. SUSAN JANE VENZKE SOCIAL WORKER 1598874703
JAMES MULLER POWELL L.I.C.S.W. 1174634992
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.