Doctor Name: | BHARGAVI SHILEDAR BAXI GHATE |
NPI Number: | 1467622498 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 13697 |
Business Practice Address: | 5009 Excelsior Blvd Suite 134 Saint Louis Park, MN - 554163041 |
Business Phone Number: | 6123605685 |
Business Fax Number: | |
Mailing Address: | 5009 Excelsior Blvd, Suite 134 SAINT LOUIS PARK |
State: | MN |
Postal Code: | 554163041 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/05/2008 |
NPI Last Update Date: | 03/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 13697 |
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 |