Provider Demographics
NPI:1750199584
Name:HERRERA, OPHELIA FRANCESCA (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:OPHELIA
Middle Name:FRANCESCA
Last Name:HERRERA
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:OFELIA
Other - Middle Name:FRANCISCA
Other - Last Name:RODRIGUEZ GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9679 HARROW CT S
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-3879
Mailing Address - Country:US
Mailing Address - Phone:651-206-1948
Mailing Address - Fax:
Practice Address - Street 1:2525 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4518
Practice Address - Country:US
Practice Address - Phone:952-992-5691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN298581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical