Individual
MR. CRAIG L. WEICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1010 32ND AVE S, MOORHEAD, MN 56560-5001
(218) 233-7524
(218) 233-8627
Mailing address
904 18TH ST N, MOORHEAD, MN 56560-1826
(218) 287-4484
(218) 233-8627
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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