Individual provider Active NPI

Marian Josephine Trautmann, MSE, LICSW

  • Clinical Social Worker
  • Cokato, MN
National Provider Identifier
1669777900
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8426 Issued in MN
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

Updated by the provider on Jan 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.