JULIE ANN HANENBURG (NPI# 1710108790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710108790 |
| Entity Type | Individual |
| Full Name | JULIE ANN HANENBURG |
| Other Name | JULIE ANN NYBAKKE |
| Credential | LICSW |
| Practice Address |
160 3rd Ave Nw Milaca MN 56353-1555 |
| Practice Telephone | 3209832335 |
| Practice Fax Number | 3209832330 |
| Mailing Telephone | 3209832335 |
| Mailing Fax Number | 3209832330 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2016-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
15603 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MHCP PROVIDER NUMBER | 632410000 | 01 |
| Street Address |
160 3RD AVE NW |
| City | MILACA |
| State | MN |
| Zip Code | 56353-1555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644339 | Amanda Wolfsteller | Marriage & Family Therapist | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2020-09-23 |
| 1487277034 | Noel Willis | Marriage & Family Therapist | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2020-05-18 |
| 1740833326 | Emily Krantz | Counselor | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2019-07-22 |
| 1437714847 | Mandy Anderson | Counselor | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2019-05-01 |
| 1598329229 | Kelsey Ann Gruba | Marriage & Family Therapist | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2019-04-29 |
| 1104305671 | Rachel Joy Nester | Counselor | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2018-08-07 |
| 1104318922 | Ahnnica Jane Lambrides Baade | Counselor | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2018-06-06 |
| 1285141648 | Elizabeth A Szybatka | Counselor | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2018-01-08 |
| 1043759624 | Heather Anderson | Counselor | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2017-02-16 |
| 1881133718 | Raeann Hagen | Social Worker | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2017-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033467659 | Nancy Hansmeier | Occupational Therapist | 12101 120th Ave, Milaca, MN 56353 | 2012-08-29 |
| 1528345493 | Rum River Health Services, Inc. | Counselor | 640 3rd Street Ne, Milaca, MN 56353 | 2011-11-07 |
| 1811914351 | Kimberly Ann Molacek | Optometrist | 132 2nd Ave Sw, Milaca, MN 56353 | 2006-07-17 |
| 1124103569 | Country Meadows of Milaca, Inc. | Assisted Living Facility | 740 2nd St. Se, Milaca, MN 56353-0157 | 2006-10-26 |
| 1740816941 | St Raphaels Chiropractic Care Center Pllc | Physical Therapist | 115 1st St W # 3, Milaca, MN 56353-1101 | 2020-03-19 |
| 1497854392 | Kip A Smith | Chiropractor | 115 1st St W, # 3, Milaca, MN 56353-1101 | 2006-09-21 |
| 1215557228 | St Raphaels Chiropractic Care Center Pllc | Physical Therapist | 115 1st St W # 3, Milaca, MN 56353-1101 | 2020-04-20 |
| 1750472197 | Hobert Drugs Inc | Durable Medical Equipment & Medical Supplies | 127 2nd Ave Sw, Milaca, MN 56353-1105 | 2006-09-28 |
| 1811929896 | Fairview Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 115 2nd Ave Sw, Milaca, MN 56353-1105 | 2006-07-07 |
| 1093088460 | Jayme Lynn Westling | Pharmacist | 127 2nd Ave Sw, Milaca, MN 56353-1105 | 2012-02-16 |
| Find all providers in zip 56353 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326694928 | Natalie Hagle | Social Worker | 13869 Golden Rd, Milaca, MN 56353-3720 | 2019-08-11 |
| 1740416932 | Jennifer Jean Goerger | Social Worker | 450 5th St Sw, Ste 100, Milaca, MN 56353-1349 | 2009-06-02 |
| 1881133718 | Raeann Hagen | Social Worker | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2017-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255121 | Trizer Smith | Social Worker | 33 Wentworth Ave E Ste 280, West Saint Paul, MN 55118-3432 | 2020-11-06 |
| 1003417262 | Wellness Within Holistic Psychotherapy, Pa | Social Worker | 3960 Saari Rd, Hibbing, MN 55746-8280 | 2020-11-04 |
| 1376144808 | Brianna Heilman | Social Worker | 38431 Lincoln Trl, North Branch, MN 55056-5834 | 2020-11-02 |
| 1811597784 | Nadia Sullivan | Social Worker | 250 S 4th St # 510, Minneapolis, MN 55415-1321 | 2020-10-29 |
| 1922608322 | Kari Ann Steele | Social Worker | 419 6th Ave S, Sartell, MN 56377-2020 | 2020-10-27 |
| 1972102580 | Grace Christine Haugen | Social Worker | 3408 18th Ave S, Minneapolis, MN 55407-2779 | 2020-10-23 |
| 1629677422 | Tracy Flanagan Lewis | Social Worker | 410 E 48th St # 5, Minneapolis, MN 55419-5651 | 2020-10-22 |
| 1912506858 | Rachael Girard Ryan | Social Worker | 1440 Alaska Ave, Saint Paul, MN 55116-2338 | 2020-10-21 |
| 1003415969 | Kaitlin Burke | Social Worker | 4016 Willow Rd N, Brooklyn Park, MN 55443-1240 | 2020-10-21 |
| 1366041378 | Jeanette Jean Foizie | Social Worker | 11109 127th St Se, Clear Lake, MN 55319-9491 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JULIE ANN HANENBURG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.