Amy Ann Rauchwarter, LICSW

Individual provider Active NPI Clinical Social Worker · Byron, MN

NPI 1265710016 · NPPES record last updated Sep 13, 2023

Key facts

NPI
1265710016
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
14207 (MN)
Practice address
514 7TH Ave NE
Byron, MN 55920
Phone
(507) 328-6249
Fax
(507) 328-6249
NPI assigned
Jul 27, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14207 MN Yes

Addresses

Primary practice location

514 7TH Ave NE
Byron, MN 55920

Mailing address

514 7TH Ave NE
Byron, MN 55920
Phone (507) 398-3827

Other providers in Byron, MN

All providers in Byron, MN · Clinical Social Worker in Minnesota

Sources for this page

Verify at the official NPI Registry.