Whalio Doctors

NPI 1134146749

Sarah Jane Gross, MSWLICSW

Practitioner Clinical Social Worker New Brighton, MN

Practice location

Address
1900 Silver Lake Rd #110, New Brighton, MN 55112
Phone
(651) 628-9566
Fax
(651) 628-0411
Mailing address
1900 Silver Lake Rd Suite 110 Nystrom & Associates, LTD., New Brighton, MN 55112

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 14423 (MN)

Registry record

NPI
1134146749
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jul 2006
Record last updated
12 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.