Individual
MR. CRAIG L. WEICKERT
Active
Individual
MR. CRAIG L. WEICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12584
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033073
PREFERREDONE
MN
01
—
116414
UCARE MINNESOTA
MN
01
—
22802
NORTH DAKOTA BLUE SHIELD
ND
01
—
29A23WE
BLUE SHIELD OF MINNESOTA
MN
01
—
62=67001
UNITED BEHAVIORAL HEALTH
MN
01
—
HP37867
HEALTHPARTNERS
MN
Enumeration date
06/02/2006
Last updated
07/08/2007
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