Provider Demographics
NPI:1366299133
Name:BJELLAND, STEVEN BJORN (LICSW)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:BJORN
Last Name:BJELLAND
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 3RD ST E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55119-4026
Mailing Address - Country:US
Mailing Address - Phone:218-340-6975
Mailing Address - Fax:
Practice Address - Street 1:2237 3RD ST E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55119-4026
Practice Address - Country:US
Practice Address - Phone:218-340-6975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical