Provider Demographics
NPI:1003271008
Name:MAAS, DANA (LSW, LAC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:MAAS
Suffix:
Gender:F
Credentials:LSW, LAC
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:KRUMWIEDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:HAZEN
Mailing Address - State:ND
Mailing Address - Zip Code:58545-0031
Mailing Address - Country:US
Mailing Address - Phone:701-269-3852
Mailing Address - Fax:
Practice Address - Street 1:1312 HIGHWAY 49 N
Practice Address - Street 2:
Practice Address - City:BEULAH
Practice Address - State:ND
Practice Address - Zip Code:58523-6038
Practice Address - Country:US
Practice Address - Phone:701-873-4445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-18
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3661104100000X
ND1624101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker