Mrs Stephanie A Bumgardner, MSW, LICSW is a
Social Worker - Clinical based in Bemidji, Minnesota. Mrs Stephanie A Bumgardner is licensed to practice in Minnesota (license number 16568) and her current practice location is
1526 30th St Nw, Bemidji, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 751-0887.
NPI number for Mrs Stephanie A Bumgardner is 1306080197 and her current mailing address is 1526 30th St Nw, Bemidji, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306080197.
Healthcare Provider's Profile
| Full Name | Mrs Stephanie A Bumgardner |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1526 30th St Nw, Bemidji, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306080197
- Provider Enumeration Date: 04/24/2009
- Last Update Date: 03/30/2022
Medical Identifiers
Medical identifiers for Mrs Stephanie A Bumgardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306080197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 16568 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 16568 (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. Mrs Stephanie A Bumgardner 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 |
|---|
Mrs Stephanie A Bumgardner, MSW, LICSW
1526 30th St Nw,
Bemidji, MN 56601-4140
Ph: (218) 751-0887 | Mrs Stephanie A Bumgardner, MSW, LICSW
1526 30th St Nw,
Bemidji, MN 56601-4140
Ph: (218) 751-0887 |
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