Provider Demographics
NPI:1558140319
Name:KLAUSTERMEIER, EMMA ROSE (MSW, LGSW)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:ROSE
Last Name:KLAUSTERMEIER
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 HAMLINE AVE N APT 332
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55113-1764
Mailing Address - Country:US
Mailing Address - Phone:952-460-0662
Mailing Address - Fax:
Practice Address - Street 1:2800 HAMLINE AVE N APT 332
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55113-1764
Practice Address - Country:US
Practice Address - Phone:952-460-0662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health