Provider Demographics
NPI:1952024580
Name:LENZNER, DARCY (LICSW)
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:
Last Name:LENZNER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:DARCY
Other - Middle Name:
Other - Last Name:METZLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:804 6TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:KASSON
Mailing Address - State:MN
Mailing Address - Zip Code:55944-2041
Mailing Address - Country:US
Mailing Address - Phone:763-221-9934
Mailing Address - Fax:
Practice Address - Street 1:3425 40TH AVE. NW
Practice Address - Street 2:SUITE 101
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901
Practice Address - Country:US
Practice Address - Phone:763-221-9934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN284121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical