Provider Demographics
NPI:1922563873
Name:STRUWVE, JESSICA SUE (MSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:SUE
Last Name:STRUWVE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19917 472ND ST
Mailing Address - Street 2:
Mailing Address - City:MCGREGOR
Mailing Address - State:MN
Mailing Address - Zip Code:55760-4425
Mailing Address - Country:US
Mailing Address - Phone:218-513-5890
Mailing Address - Fax:
Practice Address - Street 1:13 3RD ST NE
Practice Address - Street 2:
Practice Address - City:AITKIN
Practice Address - State:MN
Practice Address - Zip Code:56431-1421
Practice Address - Country:US
Practice Address - Phone:218-928-8003
Practice Address - Fax:218-928-8006
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN222721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical