Provider Demographics
NPI:1831988716
Name:ADARNA, AUDREY (MSW, LGSW)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:
Last Name:ADARNA
Suffix:
Gender:
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3511 ARCHITECT AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418-1205
Mailing Address - Country:US
Mailing Address - Phone:608-206-4085
Mailing Address - Fax:
Practice Address - Street 1:3249 HENNEPIN AVE STE 210B
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-3413
Practice Address - Country:US
Practice Address - Phone:612-836-9835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN323261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical