Provider Demographics
NPI:1033972963
Name:STRIEGEL, HOLLI EILEEN (LMSW)
Entity Type:Individual
Prefix:
First Name:HOLLI
Middle Name:EILEEN
Last Name:STRIEGEL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:HOLLI
Other - Middle Name:EILEEN
Other - Last Name:PETERSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:2032 POPLAR CIR
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-3616
Mailing Address - Country:US
Mailing Address - Phone:319-331-4617
Mailing Address - Fax:
Practice Address - Street 1:1101 5TH ST STE 103
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-2904
Practice Address - Country:US
Practice Address - Phone:319-331-4617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0078331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical