Provider Demographics
NPI:1144666884
Name:RENGSTORF, ASHLEY NOELLE (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NOELLE
Last Name:RENGSTORF
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:NOELLE
Other - Last Name:TRIDGELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:2900 E BELTLINE STE 16
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-2345
Mailing Address - Country:US
Mailing Address - Phone:218-343-5050
Mailing Address - Fax:
Practice Address - Street 1:2900 E BELTLINE
Practice Address - Street 2:
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-4504
Practice Address - Country:US
Practice Address - Phone:218-969-9796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN31603104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker