Provider Demographics
NPI:1821360579
Name:STADTLER, APRIL MARIE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:MARIE
Last Name:STADTLER
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:CENTRA CARE ST. JOSEPH CLINIC
Mailing Address - Street 2:1360 ELM ST.
Mailing Address - City:ST. JOSEPH
Mailing Address - State:MN
Mailing Address - Zip Code:56374
Mailing Address - Country:US
Mailing Address - Phone:320-243-7705
Mailing Address - Fax:320-363-0031
Practice Address - Street 1:CENTRA CARE ST. JOSEPH CLINIC
Practice Address - Street 2:1360 ELM ST.
Practice Address - City:ST. JOSEPH
Practice Address - State:MN
Practice Address - Zip Code:56374
Practice Address - Country:US
Practice Address - Phone:320-243-7705
Practice Address - Fax:320-363-0031
Is Sole Proprietor?:No
Enumeration Date:2012-01-26
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN150421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical