Provider Demographics
NPI:1295078715
Name:FRITZE, WARREN B III (MSW, LICSW, LADC,CGC)
Entity type:Individual
Prefix:MR
First Name:WARREN
Middle Name:B
Last Name:FRITZE
Suffix:III
Gender:
Credentials:MSW, LICSW, LADC,CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 RUTH ST N STE 101
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55119-4409
Mailing Address - Country:US
Mailing Address - Phone:651-955-4633
Mailing Address - Fax:651-440-9827
Practice Address - Street 1:9298 CENTRAL AVE NE STE 306
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-4219
Practice Address - Country:US
Practice Address - Phone:651-955-4633
Practice Address - Fax:651-440-9827
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN302147101YA0400X
MN204881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)