IndividualActive
Bethany Nordby, LICSW
NPI 1023300092 · Clinical Social Worker · Brainerd, MN
Provider details
- NPI number
- 1023300092
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 18168 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
823 Maple St
Brainerd, MN 56401-3770
Phone: (218) 454-4065
Fax: (218) 454-1024
Approximate (ZIP-level) locationGet directions
Mailing address
823 Maple St
Brainerd, MN 56401-3770
Registry dates
- Enumerated
- 2011-05-10
- Last updated
- 2011-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.