Log Cabin Psychotherapy Inc
Organization Active NPI Clinical Social Worker · Eveleth, MN
NPI 1699794826 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1699794826
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 8214 (MN)
- Legal business name
- LOG CABIN PSYCHOTHERAPY INC
- Practice address
- 7217 Ely Lake Dr
Eveleth, MN 55734-4007 - Phone
- (218) 744-0284
- Fax
- (218) 744-2446
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Catherine E Anderson, MS, LICSW
- Title
- Owner
- Phone
- (218) 744-0284
National Provider Directory
Locations
118 S 4th Ave E
Ste 3
Ely, MN 55731
Phone (866) 744-4101
302 E Howard St
Ste 323
Hibbing, MN 55746
Phone (218) 263-8848
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 8214 | MN | Yes |
Addresses
Primary practice location
7217 Ely Lake Dr
Eveleth, MN 55734-4007
Mailing address
3920 13TH Ave E
Suite 6
Hibbing, MN 55746-3675
Phone (218) 263-7540
Other providers in Eveleth, MN
- John Tyler Garner
- Independent School District #2154
- Jons Drug Inc
- Lewis L Lester IV
- LMK Behavioral Health LLC
- Lotus Corporation
- Lotus Transitional Services
- Paul Michael Maki
- Jon Eugene Marcaccini
- Michael Geno Marcaccini
All providers in Eveleth, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.