Healthcare Provider Details

I. General information

NPI: 1134476062
Provider Name (Legal Business Name): RENEE FRIEND MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RENEE LUHRS MACDONALD

II. Dates (important events)

Enumeration Date: 08/09/2012
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 4TH AVE SE STE 309
ABERDEEN SD
57401-4360
US

IV. Provider business mailing address

PO BOX 2748
HEMET CA
92546-2748
US

V. Phone/Fax

Practice location:
  • Phone: 605-226-7581
  • Fax:
Mailing address:
  • Phone: 951-708-4020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number75169
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: