Bruce Castle Atherton, L.I.C.S.W.
Individual provider Active NPI Clinical Social Worker · Minneapolis, MN
NPI 1992807309 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992807309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 07362 (MN)
- Practice address
- Mental Health Collective
3548 Bryant Ave. S.
Minneapolis, MN 55408 - Phone
- (612) 822-8227
- Fax
- (612) 825-4204
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07362 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watercourse Counseling Center | Past | Accepting new patients | |
| The Mental Health Collective | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 07362 | MN | Yes |
Addresses
Primary practice location
Mental Health Collective
3548 Bryant Ave. S.
Minneapolis, MN 55408
Mailing address
6357 Josephine Ave
Edina, MN 55439-1420
Phone (952) 829-7008
Other providers in Minneapolis, MN
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- Athena Behavioral Center
- Christian Athens
- Alexandra Halleen Atkins
- Matthew Roy Atkins
- Samantha Rae Atkinson
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- Adzo Erika Atson-Tsevi
All providers in Minneapolis, 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 Jul 8, 2007. 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.