Provider Demographics
NPI:1699012625
Name:TANGEN, NATALEE RACHELE (MSW, LICSW)
Entity type:Individual
Prefix:MRS
First Name:NATALEE
Middle Name:RACHELE
Last Name:TANGEN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1077 CHURCHILL CIR
Mailing Address - Street 2:
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126-5902
Mailing Address - Country:US
Mailing Address - Phone:701-260-6172
Mailing Address - Fax:
Practice Address - Street 1:1077 CHURCHILL CIR
Practice Address - Street 2:
Practice Address - City:SHOREVIEW
Practice Address - State:MN
Practice Address - Zip Code:55126-5902
Practice Address - Country:US
Practice Address - Phone:701-260-6172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-10
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN280251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical