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Contact Information

SHARON L BORTSCHELLER, LICSW
101 LEXINGTON AVE SOUTH
NEW PRAGUE, MN56071
 Phone: 952-212-6069
 Fax: 952-960-0821
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SHARON L BORTSCHELLER · (Female)

NPI # 1013083039
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 11/28/2006
Last updated 10/29/2008 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 11859
  • MN License # LICSW-11859
  • MN Medicaid 445983100
  • MN Other 409T4B0 BCBS
  • MN Other 6289849 MEDICA UBH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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