Active NPI
Rebecca Bengtson Snyder, M.S.W.
- Social Worker
- Bemidji, MN
National Provider Identifier
1669608964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 18642
- Practice address
- 619 Beltrami Ave NW Ste 200
Bemidji, MN 56601-3053 - Phone
- (218) 333-8187
- NPI assigned
- Jun 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 18642 | MN | Primary |
Addresses
Primary practice location
619 Beltrami Ave NW Ste 200
Bemidji, MN 56601-3053
Mailing address
619 Beltrami Ave NW Ste 200
Bemidji, MN 56601-3053
Phone (218) 333-8187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18642 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243900800000",
"number": "1669608964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 BELTRAMI AVE NW STE 200",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566013053",
"telephone_number": "218-333-8187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 BELTRAMI AVE NW STE 200",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566013053",
"telephone_number": "218-333-8187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "REBECCA",
"middle_name": "BENGTSON",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-02",
"last_updated": "2009-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "18642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.