Individual
DARLENE FAYE WETTERSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6701 PENN AVE S STE 301, RICHFIELD, MN 55423-2085
(651) 337-1454
Mailing address
6701 PENN AVE S STE 301, RICHFIELD, MN 55423-2085
(651) 337-1454
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10482
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800000455
MEDICARE
MN
05
—
8660140-00
—
MN
Enumeration date
10/23/2009
Last updated
10/23/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us