Provider Demographics
NPI:1447004098
Name:MUSZEL, COURTNEY RENAE (LICSW)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:RENAE
Last Name:MUSZEL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:RENAE
Other - Last Name:DOERGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2497 7TH AVE E STE 108
Mailing Address - Street 2:
Mailing Address - City:NORTH ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55109-2949
Mailing Address - Country:US
Mailing Address - Phone:651-769-6437
Mailing Address - Fax:651-769-6599
Practice Address - Street 1:327 MARSCHALL RD STE 250
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-2666
Practice Address - Country:US
Practice Address - Phone:651-769-6500
Practice Address - Fax:651-769-6549
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN207151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical