Provider Demographics
NPI:1033684451
Name:CEDERGREN, CAYLIN COLLEEN (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:CAYLIN
Middle Name:COLLEEN
Last Name:CEDERGREN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:CAYLIN
Other - Middle Name:COLLEEN
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 476
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR
Mailing Address - State:MN
Mailing Address - Zip Code:56080-0476
Mailing Address - Country:US
Mailing Address - Phone:507-995-0560
Mailing Address - Fax:
Practice Address - Street 1:45 WINNEBAGO CIR
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR
Practice Address - State:MN
Practice Address - Zip Code:56080-7700
Practice Address - Country:US
Practice Address - Phone:507-205-2720
Practice Address - Fax:507-205-9673
Is Sole Proprietor?:No
Enumeration Date:2018-10-11
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN202671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical