MARY ELLEN LOUISE VIDOVIC (LICSW) – Social Worker, NPI 1881792174

MARY ELLEN LOUISE VIDOVIC (LICSW) is a healthcare provider. based in White bear lake, Minnesota. specializing in Social Worker. They hold the professional credentials LICSW. They hold a License No. 9587 (MN). The NPI Number for MARY ELLEN LOUISE VIDOVIC (LICSW) is 1881792174

Main info

Female
Name
MARY ELLEN LOUISE VIDOVIC (LICSW)
NPI
1881792174
Phone
(651) 426-3071
Address
1310 HIGHWAY 96 E
Enumeration Date
20 September 2006
Last Update Date
10 April 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARY ELLEN LOUISE VIDOVIC (LICSW)

  • North Highway 61, White Bear Lake, Ramsey County, Minnesota, 55110, United States

    SUITE 200

    WHITE BEAR LAKE, MN 551103624

    Phone: (651) 426-3071

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55110)

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Reviews

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Frequently asked questions

How do payers reference MARY ELLEN LOUISE VIDOVIC (LICSW)?
For MARY ELLEN LOUISE VIDOVIC (LICSW), use NPI 1881792174 as the unique 10-digit identifier.
Is there an active status for MARY ELLEN LOUISE VIDOVIC (LICSW)?
For scheduling context, MARY ELLEN LOUISE VIDOVIC (LICSW) is shown as active in the registry.
How would a patient describe MARY ELLEN LOUISE VIDOVIC (LICSW)'s focus?
For MARY ELLEN LOUISE VIDOVIC (LICSW), the primary taxonomy reads as Social Worker. Clinical services aligned with this taxonomy classification.
Is MARY ELLEN LOUISE VIDOVIC (LICSW) located near White Bear Lake?
MARY ELLEN LOUISE VIDOVIC (LICSW) currently maps to White Bear Lake, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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