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Mary Bedford

Social Worker in Racine, WI. Individual provider (NPI-1).

NPI number1053439596
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1053439596
Entity type
Individual (NPI-1)
Name
Mary Bedford
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2007
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

1320 Wisconsin Ave
Racine, WI 53403-1978

Phone 262-687-2380

Mailing address

1320 Wisconsin Ave
Racine, WI 53403-1978

Phone 262-687-2380

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Social Worker providers in Racine, WI

All 18 Social Worker providers in Racine · All 1,428 providers in Racine

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