Basic Information
Provider Information
NPI: 1770854853
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHEURING
FirstName: ANNA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LICSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1721 BEECHWOOD AVE
Address2:  
City: SAINT PAUL
State: MN
PostalCode: 551162413
CountryCode: US
TelephoneNumber: 6127603248
FaxNumber:  
Practice Location
Address1: 5625 CENEX DR
Address2:  
City: INVER GROVE HEIGHTS
State: MN
PostalCode: 550771724
CountryCode: US
TelephoneNumber: 6515522600
FaxNumber: 6515522614
Other Information
ProviderEnumerationDate: 01/20/2012
LastUpdateDate: 11/21/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X16964MNY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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