Shawna L Carey

Individual provider Active NPI Clinical Social Worker · White Bear Lake, MN

NPI 1508629544 · NPPES record last updated Feb 1, 2024

Key facts

NPI
1508629544
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
3878 McKnight Rd N
White Bear Lake, MN 55110-4401
Phone
(651) 367-4599
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Dieffenbach Counseling, PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

3878 McKnight Rd N
White Bear Lake, MN 55110-4401

Mailing address

3878 McKnight Rd N
White Bear Lake, MN 55110-4401
Phone (651) 367-4599

Other providers in White Bear Lake, MN

All providers in White Bear Lake, MN · Clinical Social Worker in Minnesota

Sources for this page

Verify at the official NPI Registry.