Provider Demographics
NPI:1790964930
Name:BELBAS, NANCY FLEMMING (LICSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:FLEMMING
Last Name:BELBAS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4247 VINCENT AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55410-1520
Mailing Address - Country:US
Mailing Address - Phone:612-870-4280
Mailing Address - Fax:
Practice Address - Street 1:4247 VINCENT AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55410-1520
Practice Address - Country:US
Practice Address - Phone:612-870-4280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN034051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical