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1215051651 NPI number — GERTRUDE A SCHWENDIG-KEATING LICSW

NPI Number: 1215051651
Health Care Provider/Practitioner: GERTRUDE A SCHWENDIG-KEATING LICSW

Information about “1215051651” NPI (GERTRUDE A SCHWENDIG-KEATING LICSW) exists in 1215051651 in HTML format HTML  |  1215051651 in plain Text format TXT  |  1215051651 in PDF (Portable Document Format) PDF  |  1215051651 in an XML format XML  formats.

NPI Number : 1215051651 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215051651",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHWENDIG-KEATING",
    "FirstName": "GERTRUDE",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LICSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCHWENDIG",
    "OtherFirstName": "TRUDE",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LICSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "278 HAMLINE AVE S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT PAUL",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55105-2403",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "651-690-3469",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1422 W LAKE ST STE 314",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MINNEAPOLIS",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55408-2616",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "612-445-0225",
    "PracticeLocationAddressFaxNumber": "612-445-0112",
    "EnumerationDate": "03/19/2007",
    "LastUpdateDate": "05/01/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "7818",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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