Provider Demographics
NPI:1295409142
Name:STENSRUD, HOWARD C (APSW)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:C
Last Name:STENSRUD
Suffix:
Gender:M
Credentials:APSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BRADFORD LN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53714-2306
Mailing Address - Country:US
Mailing Address - Phone:608-471-3732
Mailing Address - Fax:
Practice Address - Street 1:2 BRADFORD LN
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53714-2306
Practice Address - Country:US
Practice Address - Phone:608-471-3732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-04
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI130737104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker