Provider Demographics
NPI:1174400188
Name:FREUND, JOHANNAH MARIAH (LICSW)
Entity type:Individual
Prefix:
First Name:JOHANNAH
Middle Name:MARIAH
Last Name:FREUND
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:JOHANNAH
Other - Middle Name:MARIAH
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1615 6TH ST NE APT 1
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-1320
Mailing Address - Country:US
Mailing Address - Phone:763-203-2037
Mailing Address - Fax:
Practice Address - Street 1:345 SMITH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2346
Practice Address - Country:US
Practice Address - Phone:651-220-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN301381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical