Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ELLEN LOUISE VIDOVIC, LICSW
ActiveMARY ELLEN LOUISE VIDOVIC, LICSW is a Social Worker healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1881792174 is currently active in the NPPES registry. Verify at CMS.
Social Worker · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1881792174
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2006 (19.905998188512 yrs)
- Last Updated
- Apr 10, 2008
- License
-
9587 (MN)
Practice Information
- Address
-
1310 HIGHWAY 96 ESUITE 200WHITE BEAR LAKE, MN, 551103624Browse MN providers · Browse ZIP 55110
- Phone
- 6514263071
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in WHITE BEAR LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| MS. SUE ANNE DALLMAN | — | 1669566865 |
| DIANE ELIZABETH BAUER | LICSW | 1053492520 |
| KATHLEEN FRANCES WEINBENDER | MSW, LICSW | 1992993398 |
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.