Doctor Name: | LISA JOLINE KRAUSE-REINERT |
NPI Number: | 1477520633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | 06458 |
Business Practice Address: | 824 Flindt Dr Suite 103 Storm Lake, IA - 505883208 |
Business Phone Number: | 7127323736 |
Business Fax Number: | 7127323275 |
Mailing Address: | 201 E 11th St, SPENCER |
State: | IA |
Postal Code: | 513014436 |
Phone Number: | 7122622922 |
Fax Number: | 7122623826 |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 11/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 06458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |