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NPI Code Detail

MEDICARE: MS. JOANNA M DEER LICSW

MEDICARE:  MS. JOANNA M DEER  LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker18239MN

General Provider Information

NPI Number : 1700764784
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOANNA M DEER LICSW
Provider Business Mailing Address
First Line : 3387 BROWNLOW AVE STE 200
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55426-4272
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3387 BROWNLOW AVE STE 200
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55426-4272
Country : US
Telephone Number : 651-341-4232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2025
Last Update Date : 08/26/2025

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Directions to “ MS. JOANNA M DEER LICSW” Practice Location

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