Individual provider · Type 1 NPI

Stephanie A. Bumgardner, M.S.W., L.I.C.S.W

Clinical Social Worker · Bemidji, MN

NPI number 1306080197 Active

Practice location

1526 30th St NW
Bemidji, MN 56601-4140

Call (218) 751-0887 Map

Fax (218) 759-4807

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X16568 (MN)
Clinical Social Worker Primary 1041C0700X16568 (MN)

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 1306080197

Stephanie A. Bumgardner, M.S.W., L.I.C.S.W's National Provider Identifier is 1306080197, issued on Apr 24, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bemidji, MN. The record was last updated on Mar 30, 2022.