Healthcare Provider Details

I. General information

NPI: 1346589967
Provider Name (Legal Business Name): JULIE JEAN REICHERT SCHEEF LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE JEAN SCHEEF LCSW

II. Dates (important events)

Enumeration Date: 02/01/2013
Last Update Date: 05/29/2020
Certification Date: 05/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1726 S WASHINGTON ST STE 33A
GRAND FORKS ND
58201-6395
US

IV. Provider business mailing address

PO BOX 9859
FARGO ND
58106-9859
US

V. Phone/Fax

Practice location:
  • Phone: 701-746-4584
  • Fax: 651-925-0057
Mailing address:
  • Phone: 701-451-4900
  • Fax: 651-925-0057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number4075
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: