Provider Demographics
NPI:1720597487
Name:HEGDAHL, APRIL ANN (LICSW)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:ANN
Last Name:HEGDAHL
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 1:50 7TH AVE N
Mailing Address - Street 2:
Mailing Address - City:WAITE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:56387-1149
Mailing Address - Country:US
Mailing Address - Phone:320-266-7197
Mailing Address - Fax:
Practice Address - Street 1:1321 13TH ST N
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-2613
Practice Address - Country:US
Practice Address - Phone:320-202-0627
Practice Address - Fax:320-252-0908
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN194551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical