Provider Demographics
NPI:1982247714
Name:LINDEMAN, HANNAH SUZANNE KAY (LICSW)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:SUZANNE KAY
Last Name:LINDEMAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:SUZANNE KAY
Other - Last Name:MARAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6871 7TH ST NE
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-4428
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2864 MIDDLE ST # 100
Practice Address - Street 2:
Practice Address - City:LITTLE CANADA
Practice Address - State:MN
Practice Address - Zip Code:55117-1411
Practice Address - Country:US
Practice Address - Phone:651-493-2055
Practice Address - Fax:651-340-8632
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN218871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical