Provider Demographics
NPI:1215051651
Name:SCHWENDIG-KEATING, GERTRUDE A (LICSW)
Entity type:Individual
Prefix:
First Name:GERTRUDE
Middle Name:A
Last Name:SCHWENDIG-KEATING
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:TRUDE
Other - Middle Name:ANN
Other - Last Name:SCHWENDIG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:278 HAMLINE AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-2403
Mailing Address - Country:US
Mailing Address - Phone:651-690-3469
Mailing Address - Fax:
Practice Address - Street 1:1422 W LAKE ST STE 314
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2616
Practice Address - Country:US
Practice Address - Phone:612-445-0225
Practice Address - Fax:612-445-0112
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN78181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical