Provider Demographics
NPI:1861233926
Name:MAIER, KATIE ANN (MSW, LGSW)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:ANN
Last Name:MAIER
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4911 LEARNING LN
Mailing Address - Street 2:
Mailing Address - City:RED WING
Mailing Address - State:MN
Mailing Address - Zip Code:55066-4533
Mailing Address - Country:US
Mailing Address - Phone:651-360-3202
Mailing Address - Fax:
Practice Address - Street 1:4911 LEARNING LN
Practice Address - Street 2:
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066-4533
Practice Address - Country:US
Practice Address - Phone:651-360-3202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN27604104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker