Provider Demographics
NPI:1417305905
Name:JENSEN-SCHNEIDER, KAROL
Entity Type:Individual
Prefix:
First Name:KAROL
Middle Name:
Last Name:JENSEN-SCHNEIDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2277 HIGHWAY 36 W
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-3804
Mailing Address - Country:US
Mailing Address - Phone:651-728-3370
Mailing Address - Fax:
Practice Address - Street 1:2277 HIGHWAY 36 W
Practice Address - Street 2:SUITE 310
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-3804
Practice Address - Country:US
Practice Address - Phone:651-728-3370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN97131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical