Provider Demographics
NPI:1790527216
Name:STEINKE, CAROLYN DELORES (LBSW)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:DELORES
Last Name:STEINKE
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:DELORES
Other - Last Name:CASTLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1015 S BROADWAY STE 18
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-4667
Mailing Address - Country:US
Mailing Address - Phone:701-857-8641
Mailing Address - Fax:
Practice Address - Street 1:1015 S BROADWAY STE 18
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-4667
Practice Address - Country:US
Practice Address - Phone:701-857-8641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker