Provider Demographics
NPI:1255647954
Name:SEDGWICK, COURTNEY K (LICSW)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:K
Last Name:SEDGWICK
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 MAIN ST N STE 201B
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-1819
Mailing Address - Country:US
Mailing Address - Phone:320-753-0778
Mailing Address - Fax:320-753-0779
Practice Address - Street 1:114 MAIN ST N STE 201B
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-1819
Practice Address - Country:US
Practice Address - Phone:320-753-0778
Practice Address - Fax:320-753-0779
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN169731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical