BILL BEDFORD (NPI# 1336572502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336572502 |
| Entity Type | Individual |
| Full Name | BILL BEDFORD |
| Credential | LICSW |
| Practice Address |
3490 Lexington Ave N #205 Shoreview MN 55126-8074 |
| Practice Telephone | 6514863808 |
| Practice Fax Number | 6514863858 |
| Mailing Telephone | 6514863808 |
| Mailing Fax Number | 6514863858 |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MN | Behavioral Health & Social Service Providers |
| Street Address |
3490 LEXINGTON AVE N #205 |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126-8074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639275852 | Northeast Youth & Family Services | Case Management | 3490 Lexington Ave N, Suite 205, Shoreview, MN 55126-8074 | 2006-09-15 |
| 1942717756 | Marissa Thornquist | Speech-Language Pathologist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2018-01-02 |
| 1487048294 | Mckenzie Melander | Speech-Language Pathologist | 3490 Lexington Ave N, Suite 305, Shoreview, MN 55126-8074 | 2015-03-19 |
| 1265701775 | Chad Michael Jayasekera | Marriage & Family Therapist | 3490 Lexington Ave N, Suite 205, Shoreview, MN 55126-8074 | 2011-12-29 |
| 1760623979 | Brett Howard Hamblin | Marriage & Family Therapist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2009-03-18 |
| 1174760060 | Lucy Spina | Marriage & Family Therapist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2009-01-14 |
| 1659516573 | Tara Gillis | Marriage & Family Therapist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2008-12-05 |
| 1952557126 | Heather Gunderson | Social Worker | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2008-08-07 |
| 1487820643 | Jon Mark Fisher | Social Worker | 3490 Lexington Ave N, Suite 205, Shoreview, MN 55126-8074 | 2008-05-07 |
| 1396926903 | Jason Mcewen | Marriage & Family Therapist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
| 1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
| 1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
| 1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
| 1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| Find all providers in zip 55126 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235295148 | Jill Marie Buckingham | Social Worker | 3490 Lexington Ave N Ste 205, Shoreview, MN 55126-8044 | 2006-12-28 |
| 1487641726 | James William Templeton | Social Worker | 470 Highway 96 W, Suite 280, Shoreview, MN 55126-1996 | 2005-10-03 |
| 1902432230 | Arden Shores Counseling | Social Worker | 3550 Lexington Ave N Ste 100, Shoreview, MN 55126-8048 | 2020-03-18 |
| 1639702145 | Steven Richard Lutes | Social Worker | 3490 Lexington Ave N Ste 205, Shoreview, MN 55126-8044 | 2020-02-13 |
| 1871081240 | Kathryn Elizabeth Muellner | Social Worker | 3490 Lexington Ave N Ste 205, Shoreview, MN 55126-8044 | 2018-05-01 |
| 1932639085 | Shawn R. Englund-helmeke | Social Worker | 3490 Lexington Ave N Ste 205, Shoreview, MN 55126-8044 | 2017-06-12 |
| 1952557126 | Heather Gunderson | Social Worker | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2008-08-07 |
| 1487820643 | Jon Mark Fisher | Social Worker | 3490 Lexington Ave N, Suite 205, Shoreview, MN 55126-8074 | 2008-05-07 |
| 1982761342 | Jeff Worley | Social Worker | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2007-01-03 |
| 1144386293 | Anna Sokolofski-tracy | Social Worker | 470 Highway 96 W, Suite 280, Shoreview, MN 55126-1996 | 2006-12-30 |
| Find all providers in SHOREVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.