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Dale Bothun, LICSW
NPI 1881221174 · Clinical Social Worker · Saint Paul, MN
Dale Bothun, LICSW is a Clinical Social Worker provider in Saint Paul, MN (NPI 1881221174).
Provider details
- NPI number
- 1881221174
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- 24553 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
570 Asbury St Ste 300
Saint Paul, MN 55104-1851
Phone: (651) 644-8515
Fax: (651) 644-3451
Street-level locationGet directions
Mailing address
570 Asbury St Ste 300
Saint Paul, MN 55104-1851
Registry dates
- Enumerated
- 2020-03-25
- Last updated
- 2020-03-25
- Certified
- 2020-03-25
Frequently asked questions
- What is Dale Bothun's NPI number?
- Dale Bothun's National Provider Identifier (NPI) is 1881221174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dale Bothun's specialty?
- Dale Bothun is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Dale Bothun located?
- Dale Bothun's practice location on file with NPPES is 570 Asbury St Ste 300, Saint Paul, MN 55104-1851.
- What is Dale Bothun's phone number?
- The practice phone number listed in the NPPES registry for Dale Bothun is (651) 644-8515.
- Is Dale Bothun's NPI active?
- Yes — Dale Bothun's NPI (1881221174) is active in the NPPES registry as of the last update on 2020-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.