Provider Demographics
NPI:1427098458
Name:LILJEGREN, CLAUDIA A (MSW)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:A
Last Name:LILJEGREN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST. WILLIAMS MENTAL HEALTH SERVICES
Mailing Address - Street 2:212 WEST SOO STREET
Mailing Address - City:PARKERS PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:56361-4699
Mailing Address - Country:US
Mailing Address - Phone:218-338-5945
Mailing Address - Fax:
Practice Address - Street 1:ST. WILLIAMS MENTAL HEALTH SERVICES
Practice Address - Street 2:212 WEST SOO STREET
Practice Address - City:PARKERS PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:56361-5636
Practice Address - Country:US
Practice Address - Phone:320-766-6341
Practice Address - Fax:218-206-9385
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN298S1LIOtherBLUE SHIELD OF MN
FMHP27093OtherHEALTHPARTNERS
MN126408OtherUCARE MINNESOTA
MN1012380OtherPREFERREDONE
MN281757800Medicaid
MN62-71307OtherUNITED BEHAVIORAL HEALTH