Provider Demographics
NPI:1821407172
Name:STEELY, ANN LAUREL PERSON (MSW, LICSW, LADC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LAUREL PERSON
Last Name:STEELY
Suffix:
Gender:F
Credentials:MSW, LICSW, LADC
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:LAUREL
Other - Last Name:PERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:825 NICOLLET MALL STE 1443
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2703
Mailing Address - Country:US
Mailing Address - Phone:612-404-0498
Mailing Address - Fax:888-974-8249
Practice Address - Street 1:825 NICOLLET MALL STE 1443
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2703
Practice Address - Country:US
Practice Address - Phone:612-404-0498
Practice Address - Fax:888-974-8249
Is Sole Proprietor?:No
Enumeration Date:2014-08-11
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN303849101YA0400X
MN23463104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)