Provider Demographics
NPI:1760831739
Name:KRUEGER, LINDSEY (SW)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:KRUEGER
Suffix:
Gender:F
Credentials:SW
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:M
Other - Last Name:JENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:48174 268TH ST
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:SD
Mailing Address - Zip Code:57005-7228
Mailing Address - Country:US
Mailing Address - Phone:507-227-4435
Mailing Address - Fax:
Practice Address - Street 1:700 S 8TH AVE
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:SD
Practice Address - Zip Code:57005-1772
Practice Address - Country:US
Practice Address - Phone:072-274-4355
Practice Address - Fax:605-582-3197
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD48981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical