Provider Demographics
NPI:1164277786
Name:HAUWILLER, RENEE IRENE (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:IRENE
Last Name:HAUWILLER
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3084 CHISHOLM CT N
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-1749
Mailing Address - Country:US
Mailing Address - Phone:651-271-8215
Mailing Address - Fax:
Practice Address - Street 1:3084 CHISHOLM CT N
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1749
Practice Address - Country:US
Practice Address - Phone:651-271-8215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN98411041S0200X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool