Provider Demographics
NPI:1184280901
Name:REINHARDT-SONDRALL, LINDA SUE (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:SUE
Last Name:REINHARDT-SONDRALL
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 1:6120 OREN AVE N
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-6155
Mailing Address - Country:US
Mailing Address - Phone:651-430-0888
Mailing Address - Fax:651-430-0889
Practice Address - Street 1:6120 OREN AVE N
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-6155
Practice Address - Country:US
Practice Address - Phone:651-430-0888
Practice Address - Fax:651-430-0889
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN17611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical