Provider Demographics
NPI:1275229866
Name:TRIEMERT, MARISSIA (LGSW)
Entity Type:Individual
Prefix:
First Name:MARISSIA
Middle Name:
Last Name:TRIEMERT
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5563 KAHLER DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55301-9605
Mailing Address - Country:US
Mailing Address - Phone:612-242-8564
Mailing Address - Fax:
Practice Address - Street 1:5563 KAHLER DR NE
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:MN
Practice Address - Zip Code:55301-9605
Practice Address - Country:US
Practice Address - Phone:612-242-8564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker