Provider Demographics
NPI:1861732026
Name:REDMANN, CAMILLE (LCSW)
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:
Last Name:REDMANN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 28TH AVE S UNIT 12282
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58208-6212
Mailing Address - Country:US
Mailing Address - Phone:701-740-9040
Mailing Address - Fax:
Practice Address - Street 1:2424 32ND AVE S STE 102
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-6509
Practice Address - Country:US
Practice Address - Phone:701-740-9040
Practice Address - Fax:701-335-7469
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND45321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical