NPI 1023300092

Bethany Rose Nordby, LICSW

Practitioner Clinical Social Worker Brainerd, MN

Practice location

Address: 823 Maple St, Brainerd, MN 56401-3770
Phone: (218) 454-4065
Fax: (218) 454-1024

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 18168 (MN)

Other Social Worker providers in Minnesota →

Registry record

NPI: 1023300092
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2011
Record last updated: 10 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.