Doctor Name: | MS. VIRGINIA KAY BACKMAN |
NPI Number: | 1144455817 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 15376 |
Business Practice Address: | 185 Highway 9 Ne Benson, MN - 562151160 |
Business Phone Number: | 3208434815 |
Business Fax Number: | 3208435105 |
Mailing Address: | 340 55th Ave Nw, BENSON |
State: | MN |
Postal Code: | 562151044 |
Phone Number: | 3208432914 |
Fax Number: | 3208435105 |
NPI Enumeration Date: | 05/23/2009 |
NPI Last Update Date: | 05/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 15376 |
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 |