Provider Demographics
NPI:1396998993
Name:MASLINSKI, MAUREEN C (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:C
Last Name:MASLINSKI
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 1:1101 E 78TH ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-1400
Mailing Address - Country:US
Mailing Address - Phone:952-884-7353
Mailing Address - Fax:952-884-9684
Practice Address - Street 1:1101 E 78TH ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-1400
Practice Address - Country:US
Practice Address - Phone:952-884-7353
Practice Address - Fax:952-884-9684
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN163461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1396998993Medicaid
MN1396998993Medicaid