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Contact Information

HEATHER BOESER, LICSW
1107 HAZELTINE BOULEVARD
SUITE 496, MD 45
CHASKA, MN55318
 Phone: 952-240-3334
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for HEATHER BOESER · (Female)

NPI Number 1154969020
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 12/11/2019
Last updated 01/10/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 23622
Hospital affiliation(s)
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
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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