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DALE BOTHUN LICSW
NPI 1881221174
Social Worker - Clinical in Saint Paul, MN

Active since March 25, 2020
570 ASBURY ST STE 300, SAINT PAUL, MN 55104(651) 644-8515(651) 644-3451 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dale Bothun Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALE BOTHUN LICSW (NPI 1881221174) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (24553) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1881221174
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDALE BOTHUNCredential: LICSW
Location Address570 ASBURY ST STE 300Saint Paul, MN 55104-1851
Mailing Address570 Asbury St Ste 300Saint Paul, MN 55104-1851 · (651) 644-8515 · Fax (651) 644-3451
Phone(651) 644-8515
Fax(651) 644-3451
Sole ProprietorNo
Enumeration DateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
✔ NPI 1881221174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 24553
Definition
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.
570 ASBURY ST STE 300, Saint Paul, MN 55104
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA ARMENDARIZ-KUEHN MA
Counselor (Mental Health)
570 ASBURY ST STE 300
SAINT PAUL, MN 55104
Ramsey County (651) 644-8515
PROJECT PATHFINDER INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
570 ASBURY ST STE 300
SAINT PAUL, MN 55104
Ramsey County (651) 644-8515
VICTORIA MARIE CARLSON LPCC
Counselor (Mental Health)
570 ASBURY ST STE 300
SAINT PAUL, MN 55104
Ramsey County (651) 644-8515
TARYN OLSON
Counselor (Mental Health)
570 ASBURY ST STE 300
SAINT PAUL, MN 55104
Ramsey County (651) 644-8515
JENNA SADLER LPCC
Counselor (Professional)
570 ASBURY ST STE 300
SAINT PAUL, MN 55104
Ramsey County (651) 644-8515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Bothun's NPI number?

The NPI number for Dale Bothun is 1881221174. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Dale Bothun located?

Dale Bothun practices at 570 Asbury St Ste 300, Saint Paul, MN 55104. The listed phone number is (651) 644-8515.

What is Dale Bothun's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Dale Bothun was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.