MEDICARE: STACY M. HUSEBO

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	16034	MN

General Provider Information

NPI Number	:	1821489444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY M. HUSEBO

Provider Business Mailing Address
First Line	:	2637 27TH AVE S STE 16
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1565
Country	:	US
Telephone Number	:	612-702-2955
Fax Number	:

Provider Business Practice Location Address
First Line	:	2637 27TH AVE S STE 16
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1565
Country	:	US
Telephone Number	:	612-702-2955
Fax Number	:

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

Provider Enumeration Date	:	02/18/2015
Last Update Date	:	02/18/2015

Similar Medicare Providers

1063394914 — LEAH J LORENTZEN
Practice Location Address:

2637 27TH AVE S # 248
MINNEAPOLIS, MN
55406-1565

Practice Phone: 612-548-4459
Practice Fax:

1215110168 — MS. MERRA L. YOUNG MSW,LICSW,LMFT
Practice Location Address:

2637 27TH AVE S , #201 (RIVERS' WAY)
MINNEAPOLIS, MN
55406-1565

Practice Phone: 612-253-5133
Practice Fax:

1528295813 — COLLEEN MARTENS ENDRIZZI, INC.
Practice Location Address:

2637 27TH AVE S , SUITE 212
MINNEAPOLIS, MN
55406-1565

Practice Phone: 612-250-5097
Practice Fax:

1710117569 — TONAL BALANCE CHIROPRACTIC AND NUTRITION, LLC
Practice Location Address:

2637 27TH AVE S
MINNEAPOLIS, MN
55406-1565

Practice Phone: 612-205-2513
Practice Fax:

1043505472 — SUCCESS IN MOTION THERAPY LLC
Practice Location Address:

2637 27TH AVE S , SUITE 212
MINNEAPOLIS, MN
55406-1565

Practice Phone: 612-250-5097
Practice Fax: 612-823-0208

1144508250 — BLUE SKY DESIGNS, INC.
Practice Location Address:

2637 27TH AVE S , SUITE 209
MINNEAPOLIS, MN
55406-1565

Practice Phone: 612-724-7002
Practice Fax: 888-311-4435

Directions to “ STACY M. HUSEBO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.