Provider Demographics
NPI:1487649026
Name:UHLHORN, DONALD C (LICSW)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:C
Last Name:UHLHORN
Suffix:
Gender:M
Credentials:LICSW
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Mailing Address - Street 1:1900 SILVER LAKE RD NW
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-1786
Mailing Address - Country:US
Mailing Address - Phone:651-379-1718
Mailing Address - Fax:651-379-1738
Practice Address - Street 1:1900 SILVER LAKE RD NW
Practice Address - Street 2:SUITE 110
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-1786
Practice Address - Country:US
Practice Address - Phone:651-628-9566
Practice Address - Fax:651-628-0411
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2017-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN141071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1032828OtherBEHAVIORAL HEALTHCARE PRO
MN173138OtherUCARE MN
HP37573OtherHEALTH PARTNERS
MN6253866OtherUNITED BEHAVIORAL HEALTH
MN223J9UHOtherBCBS
MN446337400Medicaid