Provider Demographics
NPI:1255767711
Name:TALARICO, KRISANN SCHMITZ (LCSW, LICSW, OSW-C)
Entity type:Individual
Prefix:
First Name:KRISANN
Middle Name:SCHMITZ
Last Name:TALARICO
Suffix:
Gender:F
Credentials:LCSW, LICSW, OSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18601 63RD PL N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-4228
Mailing Address - Country:US
Mailing Address - Phone:612-246-4942
Mailing Address - Fax:
Practice Address - Street 1:18601 63RD PL N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311-4228
Practice Address - Country:US
Practice Address - Phone:612-246-4942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN332551041C0700X
ORL55571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical