MEDICARE: GERTRUDE A SCHWENDIG-KEATING 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
1	1041C0700X	Clinical Social Worker	7818	MN

General Provider Information

NPI Number	:	1215051651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERTRUDE A SCHWENDIG-KEATING LICSW

Provider Business Mailing Address
First Line	:	278 HAMLINE AVE S
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-2403
Country	:	US
Telephone Number	:	651-690-3469
Fax Number	:

Provider Business Practice Location Address
First Line	:	1422 W LAKE ST STE 314
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-2616
Country	:	US
Telephone Number	:	612-445-0225
Fax Number	:	612-445-0112

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	05/01/2025

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Directions to “ GERTRUDE A SCHWENDIG-KEATING LICSW” Practice Location

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