Active NPI
Marian Josephine Trautmann, MSE, LICSW
- Clinical Social Worker
- Cokato, MN
National Provider Identifier
1669777900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8426
- Practice address
- 13637 60TH St SW
Cokato, MN 55321-4210 - Phone
- (320) 286-2992
- Fax
- (320) 286-5140
- NPI assigned
- Jan 18, 2011
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8426 | MN | Primary |
Addresses
Primary practice location
13637 60TH St SW
Cokato, MN 55321-4210
Mailing address
13637 60TH St SW
Cokato, MN 55321-4210
Phone (320) 286-2992
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1669777900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13637 60TH ST SW",
"city": "COKATO",
"state": "MN",
"postal_code": "553214210",
"telephone_number": "320-286-2992",
"fax_number": "320-286-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13637 60TH ST SW",
"city": "COKATO",
"state": "MN",
"postal_code": "553214210",
"telephone_number": "320-286-2992",
"fax_number": "320-286-5140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUTMANN",
"first_name": "MARIAN",
"middle_name": "JOSEPHINE",
"name_prefix": "Mrs.",
"credential": "MSE, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "8426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cokato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.