Ms Nicky Diane Bredeson, LICSW LMFT is a
Marriage & Family Therapist based in Edina, Minnesota. Ms Nicky Diane Bredeson is licensed to practice in Minnesota (license number L.M.F.T.564) and her current practice location is
4005 West 65th St, #108, Edina, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(952) 929-1819.
NPI number for Ms Nicky Diane Bredeson is 1487717344 and her current mailing address is 4005 West 65th St, #108, Edina, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487717344.
Healthcare Provider's Profile
Full Name | Ms Nicky Diane Bredeson |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 4005 West 65th St, Edina, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487717344
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Nicky Diane Bredeson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487717344 | NPI | - | NPPES |
LICSW257 | Other | MN | LICENSE NUMBER |
LMFT564 | Other | MN | LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | L.I.C.S.W. 257 (Minnesota) | Primary |
106H00000X | Marriage & Family Therapist | L.M.F.T.564 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nicky Diane Bredeson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Nicky Diane Bredeson, LICSW LMFT 4005 West 65th St, #108, Edina, MN 55435-1700 Ph: (952) 929-1819 | Ms Nicky Diane Bredeson, LICSW LMFT 4005 West 65th St, #108, Edina, MN 55435-1700 Ph: (952) 929-1819 |
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