MARY ELLEN LOUISE VIDOVIC LICSW
NPI 1881792174
Social Worker in White Bear Lake, MN

Active since September 20, 2006
1310 HIGHWAY 96 E, SUITE 200, WHITE BEAR LAKE, MN 55110(651) 426-3071 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Ellen Louise Vidovic Licsw NPPES

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

MARY ELLEN LOUISE VIDOVIC LICSW (NPI 1881792174) is an individual social worker in White Bear Lake, Minnesota, licensed in Minnesota (9587) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1881792174
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMARY ELLEN LOUISE VIDOVICCredential: LICSW
Location Address1310 HIGHWAY 96 E, SUITE 200White Bear Lake, MN 55110-3624
Mailing Address1310 Highway 96 E, Suite 200White Bear Lake, MN 55110-3624 · (651) 426-3071
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 10, 2008
NPI 1881792174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in MN · 9587
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1310 HIGHWAY 96 E, White Bear Lake, MN 55110

Other Providers at the Same Location NPPES 17

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

Marriage & Family Therapist
1310 HIGHWAY 96 E, SUITE 202 A
WHITE BEAR LAKE, MN 55110
Psychologist
1310 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55110
Psychologist
1310 HIGHWAY 96 E, SUITE 200
WHITE BEAR LAKE, MN 55110
Social Worker (Clinical)
1310 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55110
Chiropractor
1310 HIGHWAY 96 E, SUITE # 206
WHITE BEAR LAKE, MN 55110
Chiropractor
1310 HIGHWAY 96 E, SUITE #102
WHITE BEAR LAKE, MN 55110
Massage Therapist
1310 HIGHWAY 96 E, #214
WHITE BEAR LAKE, MN 55110
Social Worker
1310 HIGHWAY 96 E, SUITE #200
WHITE BEAR LAKE, MN 55110

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 Mary Vidovic's NPI number?

The NPI number for Mary Vidovic is 1881792174. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Mary Vidovic located?

Mary Vidovic practices at 1310 Highway 96 E Suite 200, White Bear Lake, MN 55110. The listed phone number is (651) 426-3071.

What is Mary Vidovic's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Mary Vidovic was last updated on April 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.