Provider Demographics
NPI:1891854147
Name:SIGEL, MARJORIE E (MSW, LICSW)
Entity Type:Individual
Prefix:MS
First Name:MARJORIE
Middle Name:E
Last Name:SIGEL
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 1:1997 STANFORD AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-1655
Mailing Address - Country:US
Mailing Address - Phone:651-690-3997
Mailing Address - Fax:
Practice Address - Street 1:JEWISH FAMILY SERVICE .
Practice Address - Street 2:1633 WEST 7TH ST.
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102
Practice Address - Country:US
Practice Address - Phone:651-698-0767
Practice Address - Fax:651-698-0162
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN005801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN105253OtherBHP
MN185872-00OtherMHCP
MN62-31008OtherUBH
MN42D38SIOtherBC BS