Provider Demographics
NPI:1427124205
Name:MURR, SUSAN JEAN (LICSW)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:JEAN
Last Name:MURR
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 21ST AVE N
Mailing Address - Street 2:
Mailing Address - City:SOUTH ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55075-1701
Mailing Address - Country:US
Mailing Address - Phone:651-470-4050
Mailing Address - Fax:651-451-0141
Practice Address - Street 1:4655 NICOLS RD STE 206
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-2395
Practice Address - Country:US
Practice Address - Phone:952-936-2800
Practice Address - Fax:651-405-0358
Is Sole Proprietor?:No
Enumeration Date:2006-11-25
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN161641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical