Provider Demographics
NPI:1982354957
Name:REIF-WENNER, BRITTANY
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:REIF-WENNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1351 SAINT CLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-2336
Mailing Address - Country:US
Mailing Address - Phone:320-310-1696
Mailing Address - Fax:
Practice Address - Street 1:7401 METRO BLVD STE 425
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-3011
Practice Address - Country:US
Practice Address - Phone:651-217-1480
Practice Address - Fax:833-972-5926
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-24
Last Update Date:2025-11-22
Deactivation Date:2022-04-26
Deactivation Code:
Reactivation Date:2023-02-20
Provider Licenses
StateLicense IDTaxonomies
MN317811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical