Provider Demographics
NPI:1376832980
Name:RUSCHMEYER BOWE, ANNA NORAH (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:NORAH
Last Name:RUSCHMEYER BOWE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14882 150TH ST
Mailing Address - Street 2:
Mailing Address - City:GLENCOE
Mailing Address - State:MN
Mailing Address - Zip Code:55336-7356
Mailing Address - Country:US
Mailing Address - Phone:320-282-6027
Mailing Address - Fax:320-282-7037
Practice Address - Street 1:1500 MCANDREWS W RD
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4432
Practice Address - Country:US
Practice Address - Phone:320-282-6027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN165811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical