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
Fax: (507) 345-6761
Website:

Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
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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