DR. CAROLE ANNE WIDICK (NPI# 1770501843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770501843 |
| Entity Type | Individual |
| Full Name | DR. CAROLE ANNE WIDICK |
| Credential | L.P. |
| Practice Address |
110 2nd St S Ste 301 Waite Park MN 56387-1314 |
| Practice Telephone | 3202522976 |
| Practice Fax Number | 3206561570 |
| Mailing Telephone | 3202522976 |
| Mailing Fax Number | 3206561570 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
LP1899 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 491351500 | 05 |
| Street Address |
110 2ND ST S STE 301 |
| City | WAITE PARK |
| State | MN |
| Zip Code | 56387-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366878381 | Gayle Linda Neuerburg | Marriage & Family Therapist | 110 2nd St S Ste 301, Waite Park, MN 56387-1314 | 2013-09-23 |
| 1588843882 | Sabrina M Hanson-reiter | Counselor | 110 2nd St S Ste 301, Waite Park, MN 56387-1314 | 2007-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041269 | Kayli Marie Brzinski | Massage Therapist | 700 Division St, Waite Park, MN 56387 | 2020-01-03 |
| 1457836454 | Group Health Plan, Inc | Clinic/Center | 430 Great Oak Drive, Waite Park, MN 56387 | 2018-09-26 |
| 1467826016 | Nogob Transportion Inc | Non-emergency Medical Transport (VAN) | 427 Sundial Drive, Waite Park, MN 56387 | 2015-11-19 |
| 1790043271 | Ruth Marie Kuhlman | Psychologist | 110 2nd Street South, Suite 203, Waite Park, MN 56387 | 2012-05-02 |
| 1538463435 | Bjerke Counseling Services, LLC | Community/Behavioral Health | 110 Second Street, South, Suite 303, Waite Park, MN 56387 | 2011-01-06 |
| 1578799714 | Councseling Associates, Pa | Marriage & Family Therapist | 110 Second Street South, Suite 304, Waite Park, MN 56387 | 2009-06-02 |
| 1063678357 | Chiropractic Connection Pllc | Chiropractor | 2103 Frontage Rd N, #19, Waite Park, MN 56387 | 2008-08-06 |
| 1891972584 | Jill M Braaten | Chiropractor | 750 1st Street South, Suite 103, Waite Park, MN 56387 | 2008-01-25 |
| 1609053396 | Braaten Chiropractic LLC | Chiropractor | 750 1st. St. S. Ste 103, Waite Park, MN 56387 | 2008-01-25 |
| 1093849622 | Thomas Edward Monsen | Social Worker | 504 Industrial Boulevard, Waconia, MN 56387 | 2007-03-15 |
| Find all providers in zip 56387 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366761629 | Jennifer Lynne Miller | Psychologist | 110 2nd St S, Suite #303, Waite Park, MN 56387-1662 | 2010-05-26 |
| 1740327402 | Laurie Ellen Terhune | Psychologist | 110 2nd St S, Suite 303, Waite Park, MN 56387-1662 | 2007-01-31 |
| 1427159284 | Nancy Lynn Holden | Psychologist | 110 2nd St S, Suite 222, Waite Park, MN 56387 | 2006-09-26 |
| 1669585253 | Lisa J Torborg | Psychologist | 110 2nd St S, Suite 301, Waite Park, MN 56387-1314 | 2006-08-16 |
| 1578576039 | Kirk L Lamb | Psychologist | 110 2nd St S, Suite 301, Waite Park, MN 56387-1314 | 2006-08-15 |
| 1972521052 | James W Bryer | Psychologist | 110 2nd St S, Ste 301, Waite Park, MN 56387-1314 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355275 | Paul Franklin Singh | Psychologist | 150 E Travelers Trl Ste G, Burnsville, MN 55337-6890 | 2020-10-29 |
| 1639779127 | Abdifatah Nuuh | Psychologist | 4204 16th Ave S, Minneapolis, MN 55407-3312 | 2020-10-26 |
| 1134732514 | Colleen Cashen | Psychologist | 1341 Cleveland Ave S, Saint Paul, MN 55116-2653 | 2020-08-26 |
| 1295357440 | Pure Potential Counseling | Psychologist | 18685 Dylan Dr, Farmington, MN 55024-7070 | 2020-05-11 |
| 1871115337 | Melissa Jean King | Psychologist | 205 W 2nd St Ste 437, Duluth, MN 55802-1922 | 2020-05-07 |
| 1841811296 | Kristen Math X | Psychologist | 1603 Pebble Creek Dr, Sartell, MN 56377-4538 | 2020-04-27 |
| 1245859982 | Thomas Allen | Psychologist | 12 Valley View Pl, Mankato, MN 56001-2500 | 2020-04-13 |
| 1033749163 | Neurocalm, LLC | Psychologist | 3153 Hennepin Ave Ste 211, Minneapolis, MN 55408-2620 | 2020-01-16 |
| 1457999500 | Megan Robb | Psychologist | 555 W Broadway Ave Ste 2and3, Forest Lake, MN 55025-1175 | 2019-12-18 |
| 1821635723 | Leadership Coaching Institute LLC | Psychologist | 1264 Garden St, Ogilvie, MN 56358-3520 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
| City | WAITE PARK |
| Zip Code | 56387 |
Please comment or provide details below to improve the information on DR. CAROLE ANNE WIDICK.
| 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.