Individual provider · Type 1 NPI

Mary Ellen Bigham, MSW, LICSW

Clinical Social Worker · Maple Grove, MN

NPI number 1245554161 Active

Practice location

13603 80th Circle North
Maple Grove, MN 55369

Call (763) 416-1489 Map

Fax (763) 416-3957

Mailing address

1900 Silver Lake Rd NW, Suite 110
New Brighton, MN 55112-1786

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1245554161

Mary Ellen Bigham, MSW, LICSW's National Provider Identifier is 1245554161, issued on Mar 22, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maple Grove, MN. The record was last updated on Oct 27, 2016.