Edith Marie Haenel, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06629 Issued in MN

Practice address

111 E Clark St Ste 201
Albert Lea, MN 56007-2420

Phone

(507) 377-2224

Fax

(507) 377-2224

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Individual and Family Services, Inc.

  • Community/Behavioral Health Agency
  • Albert Lea, MN
  • NPI 1295999746
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164521613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E CLARK ST STE 201",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072420",
            "telephone_number": "507-377-2224",
            "fax_number": "507-377-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E CLARK ST STE 201",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072420",
            "telephone_number": "507-377-2224",
            "fax_number": "507-377-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAENEL",
        "first_name": "EDITH",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "06629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Groeneweg, RN BSN PHN
• Group Health Plan, Inc. (Albert Lea Area Schools Well@Work)
• Group Health, Inc. (Albert Lea Area Schools Well@Work)
• John Andrew Grzybowski, M.D.
• Saroj K Gujral, M.D.
• Jayden Kaye Hammer
• Penny Hammer, PTA
• Jessica Ruth Hanna, CMT
• Mina Samir Erian Hanna, MD
• Gisli Engilbert Haraldsson, M.D.

• Clinical Social Worker in Albert Lea, MN
• Providers in Albert Lea, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.