Provider Demographics
NPI:1609290832
Name:SCHULTE, VANESSA (MSW, LICSW)
Entity Type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:
Last Name:SCHULTE
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7582 CURRELL BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2471
Mailing Address - Country:US
Mailing Address - Phone:651-739-7539
Mailing Address - Fax:651-730-9200
Practice Address - Street 1:7582 CURRELL BLVD
Practice Address - Street 2:COUNSELING PSYCHOLOGISTS OF WOODBURY, STE. 108
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2262
Practice Address - Country:US
Practice Address - Phone:651-739-7539
Practice Address - Fax:651-730-9200
Is Sole Proprietor?:No
Enumeration Date:2014-02-07
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN22612104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker