Clements, George Whitney
Clements, George Whitney is an individual health care provider with primary practice located at 201 N. Broad St. Mankato Mental Health Associates, Mankato MN 56001. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Clements, George Whitney can be contacted via phone (507) 345-4448.Contact Information
Primary practice address
201 N. Broad St. Mankato Mental Health Associates
Mankato MN 56001
Phone: (507) 345-4448
Fax: (507) 345-6761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 17134 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LICSW17134 | Minnesota |
Profile Details
| NPI number | 1194870881 |
|---|---|
| LBN Legal business name | Clements, George Whitney |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Dec 11th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194870881 | NPPES |
| Minnesota | Other | 722391045623 | PREFERRED ONE |
| Minnesota | Other | 138108 | PREFERRED ONE |
| Minnesota | Other | 81G42CL | PREFERRED ONE |
| Minnesota | Other | HP58819 | PREFERRED ONE |
| Minnesota | MEDICAID | 061625700 | PREFERRED ONE |
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