Shannon Jane Lorenzen, MSW, LICSW
Social Worker, Clinical in Minneapolis, MN. Individual provider (NPI-1).
NPI number1760102610
StatusActive
Last updated in NPPESAug 31, 2022
Details
- NPI
- 1760102610
- Entity type
- Individual (NPI-1)
- Name
- Shannon Jane Lorenzen
- Credential
- MSW, LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2022
- Certification date
- Aug 31, 2022
- Last updated
- Aug 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 25771 | MN | Yes |
Other names
- Shannon Jane Perry (Former Name)
Practice location
4027 County Road 25Minneapolis, MN 55416-2629
Phone 612-925-6033 · Fax 612-925-8496
Mailing address
4240 Park Glen RdSt Louis Park, MN 55416-5427
Phone 612-925-6033 · Fax 612-925-8496
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