Provider Type Icon

MIKKI JO ROTHBAUER MSW LICSW NPI 1548642770


NPI Information

NPI: 1548642770
Provider Name: MIKKI JO ROTHBAUER, MSW, LICSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Organization: HEALTHPARTNERS MEDICAL GROUP

PECOS Registration: Yes

Address:
640 JACKSON ST
BURN CENTER C5400
SAINT PAUL, MN
ZIP 55101
Phone: (651) 254-2030
Get Directions

Mikki Jo Rothbauer, MSW, LICSW is a clinical social worker in Saint Paul, MN with 20 years of experience. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Mikki Jo Rothbauer, MSW, LICSW NPI is 1548642770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2004

The provider's business location address is:

640 JACKSON ST
BURN CENTER C5400
SAINT PAUL, MN
ZIP 55101-502
Phone: (651) 254-2030
Fax: (651) 254-6870

The NPI 1548642770 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/24/2015 and was last updated on 6/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical15399MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.