Provider Demographics
NPI:1972516037
Name:SABIN, GLORIA JEAN (MSW, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:JEAN
Last Name:SABIN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:MS
Other - First Name:GLORIA
Other - Middle Name:JEAN
Other - Last Name:PINSKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:112 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258-1824
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1212 E COLLEGE DR
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-2010
Practice Address - Country:US
Practice Address - Phone:507-532-3236
Practice Address - Fax:507-532-0240
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN86531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1396815OtherUNITED HEALTHCARE
MN354758200Medicaid
MN62-33458OtherMEDICA
MN20181OtherSIOUX VALLEY HEALTH
MN800005813OtherRR MEDICARE
MN8H674SAOtherBLUE CROSS BLUE SHIELD
MN115102OtherUCARE
MN1011827OtherPREFERRED ONE
MNHP38257OtherHEALTH PARTNERS
MN62-33458OtherMEDICA