Provider Demographics
NPI:1720685019
Name:SCHUETTE, MADELINE (MSW, LGSW, LADC)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:SCHUETTE
Suffix:
Gender:F
Credentials:MSW, LGSW, LADC
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:
Other - Last Name:GANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:703 2ND ST E
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-1306
Mailing Address - Country:US
Mailing Address - Phone:651-366-1632
Mailing Address - Fax:
Practice Address - Street 1:1856 BEAM AVE STE 200
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1162
Practice Address - Country:US
Practice Address - Phone:651-366-1632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN26891101YM0800X
MN304991101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health