Doctor Name: | NICOLE KRISTINE HACHFELD |
NPI Number: | 1043570229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 17457 |
Business Practice Address: | 301 2nd St Ne New Prague, MN - 560711709 |
Business Phone Number: | 9527588918 |
Business Fax Number: | 9527588146 |
Mailing Address: | 301 2nd St Ne, NEW PRAGUE |
State: | MN |
Postal Code: | 560711709 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/22/2012 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 17457 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |