| Shelley S. Berven And Associates, Llc | |
|
595 Selby Ave Saint Paul MN 55102-1730 | |
| (651) 293-3923 | |
| (612) 465-4017 |
| Full Name | Shelley S. Berven And Associates, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 595 Selby Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Shelley Sears Berven (OWNER) |
| Authorized Official Contact | 6512933923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley S. Berven And Associates, Llc 774 Delaware Ave Saint Paul MN 55107-2538 Ph: (612) 269-9761 | Shelley S. Berven And Associates, Llc 595 Selby Ave Saint Paul MN 55102-1730 Ph: (651) 293-3923 |
| NPI Number | 1114225828 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 06/04/2025 |
| Certification Date | 06/04/2025 |
| Medicare PECOS PAC ID | 9234655366 |
|---|---|
| Medicare Enrollment ID | O20250501000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114225828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 06845 (Minnesota) | Primary |
| Provider Name | Shelley S Berven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265539308 PECOS PAC ID: 7517973175 Enrollment ID: I20060306000790 |
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