BARBARA WELLER LICSW LLC (NPI# 1912111204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912111204 |
| Entity Type | Organization |
| Organization Name | BARBARA WELLER LICSW LLC |
| Practice Address |
5170 Mcquade Road Duluth MN 55804-2943 |
| Practice Telephone | 2185252059 |
| Practice Fax Number | 2185251864 |
| Mailing Telephone | 2185252059 |
| Mailing Fax Number | 2185251864 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BARBARA J WELLER (OWNER) |
| Authorized Official Telephone | 2185252059 |
| Authorized Official Credential | LICSW MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
00300 | MN | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
00300 | MN | Behavioral Health & Social Service Providers |
| Street Address |
5170 MCQUADE ROAD |
| City | DULUTH |
| State | MN |
| Zip Code | 55804-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235593591 | Michelle Leblanc | Speech-Language Pathologist | 5017 London Rd., Duluth, MN 55804 | 2016-04-12 |
| 1346541075 | Christina Finlo | Marriage & Family Therapist | 4849 Ivanhoe St, Duluth, MN 55804 | 2010-11-11 |
| 1821301623 | Rachel Gabrielle Ashford | Social Worker | 5107 E Superior St, Duluth, MN 55804 | 2010-07-21 |
| 1932381423 | Janet Florence Lewis | Registered Nurse | 4231 Dodge Street, Duluth, MN 55804 | 2007-11-27 |
| 1245419894 | Ernest Carl Hansen | Physical Therapist | 4002 London Rd., Duluth, MN 55804 | 2007-10-31 |
| 1316011596 | Melissa J. Janzen | Chiropractor | 4731 E Superior St, Duluth, MN 55804 | 2006-11-20 |
| 1861406522 | Susan Klee Anderson | Family Medicine | 4621 E Superior St., Duluth, MN 55804 | 2006-07-28 |
| 1104886977 | Sarah Adeen Ziring | Physical Therapist | 4621 E Superior St, Duluth, MN 55804 | 2006-03-24 |
| 1285831040 | Janzen Chiropractic Pa | Chiropractor | 4731 E Superior St, Duluth, MN 55804 | 2007-06-27 |
| 1912121708 | Cooley Chiropractic Clinic, Inc. | Chiropractor | 5722 Homestead Rd, Duluth, MN 55804 | 2007-04-12 |
| Find all providers in zip 55804 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721818 | Rene Mooney Psyd Pllc | Psychologist | 419 3rd St E, Thief River Falls, MN 56701-2104 | 2020-05-13 |
| 1922145622 | Associates In Psychiatry and Psychology | Psychologist | 3101 Superior Dr Nw, Rochester, MN 55901-1993 | 2007-01-31 |
| 1457414179 | Kathryn Mary Mcalister | Psychologist | 1700 North Broadway, Suite 102, Rochester, MN 55906-4144 | 2006-12-18 |
| 1225199052 | Nathaniel Stewart Jr. | Psychologist | 1535 Laurel Ave, Saint Paul, MN 55104-6739 | 2006-12-13 |
| 1255373403 | Allina Health System | Psychologist | 710 E. 24th Street, # 303, Minneapolis, MN 55407-1321 | 2006-06-12 |
| 1154954857 | Christopher John Schiffer | Psychologist | 1516 W Lake St, Minneapolis, MN 55408-2554 | 2020-02-20 |
| 1548790215 | Roberta Gerling LLC | Psychologist | 16204 Highway 7, Minnetonka, MN 55345-3405 | 2017-06-15 |
| 1942494216 | Pathways Counseling Center, Inc. | Psychologist | 1919 University Ave W, Suite 6, Saint Paul, MN 55104-3453 | 2007-08-30 |
| 1023153491 | Park Psychotherapy & Consulting Inc | Psychologist | 4601 Excelsior Blvd, Suite 501, St Louis Park, MN 55416 | 2007-02-21 |
| 1659443992 | Southwest Family Serivces | Psychologist | 3108 Hennepin Ave, Minneapolis, MN 55408-2619 | 2006-11-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.