Michael Tillman Sletta, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14491 Issued in MN

Practice address

722 15TH St NW
Bemidji, MN 56601-2528

Phone

(218) 751-3280

Fax

(218) 751-3298

NPI assigned

Jun 24, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1346401122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 15TH ST NW",
            "address_2": "P.O. BOX 640",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012528",
            "telephone_number": "218-751-3280",
            "fax_number": "218-751-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 15TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012528",
            "telephone_number": "218-751-3280",
            "fax_number": "218-751-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLETTA",
        "first_name": "MICHAEL",
        "middle_name": "TILLMAN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil A Skogerboe, MD
• Logan Slack
• Lyndsey Slade
• Sydney Grace Slagter
• Gretchen Slavicek, MS, LMFT
• Christopher Lee Slough
• Ashley N Smith, MSW, LGSW
• Blake Daniel Smith, D.D.S.
• Bradley A Smith, PA-C
• Brittany Dawn Smith, RD/LD

• Clinical Social Worker in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.