Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORIE STEWART MCKIBBEN, MSW, LICSW
Active Sole ProprietorCORIE STEWART MCKIBBEN, MSW, LICSW is a Clinical Social Worker healthcare provider located in ELY, Minnesota. NPI 1952931586 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ELY, MN
Registration Details
- NPI Number
- 1952931586
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2020 (6.3720093640999 yrs)
- Last Updated
- Mar 5, 2021
- License
-
25428 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 N 1ST AVE E STE 202ELY, MN, 557311473Browse MN providers · Browse ZIP 55731
- Phone
- 2182168467
- Fax
- 2182619083
- 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.