Provider Demographics
NPI:1497818827
Name:APONTE, BETH ANN (LICSW)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:APONTE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:ANN
Other - Last Name:RECHKEMMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:1106 W DEPUE AVE
Mailing Address - Street 2:
Mailing Address - City:OLIVIA
Mailing Address - State:MN
Mailing Address - Zip Code:56277
Mailing Address - Country:US
Mailing Address - Phone:320-523-1300
Mailing Address - Fax:320-523-1300
Practice Address - Street 1:1106 W DEPUE AVE
Practice Address - Street 2:
Practice Address - City:OLIVIA
Practice Address - State:MN
Practice Address - Zip Code:56277-1230
Practice Address - Country:US
Practice Address - Phone:320-523-1300
Practice Address - Fax:320-523-1300
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2010-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN16758104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker