Provider Demographics
NPI:1437701620
Name:WINKELS, CALLIE (LSW)
Entity Type:Individual
Prefix:
First Name:CALLIE
Middle Name:
Last Name:WINKELS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 WESTRAC DR S STE 100
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-2374
Mailing Address - Country:US
Mailing Address - Phone:701-203-8725
Mailing Address - Fax:
Practice Address - Street 1:1131 WESTRAC DR S STE 100
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-2374
Practice Address - Country:US
Practice Address - Phone:701-203-8725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical