MEDICARE: COLLEEN MARIE STEPPA LGSW

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	104100000X	Social Worker	26665	MN
2	104100000X	Social Worker	19514	AZ

General Provider Information

NPI Number	:	1750921466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN MARIE STEPPA LGSW

Provider Business Mailing Address
First Line	:	2853 35TH AVE S APT 1
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-4118
Country	:	US
Telephone Number	:	612-345-8193
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 WASHINGTON AVE N STE 500
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55401-2263
Country	:	US
Telephone Number	:	612-345-8193
Fax Number	:

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

Provider Enumeration Date	:	01/10/2020
Last Update Date	:	06/26/2025

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