Provider Demographics
NPI:1174315386
Name:DRIES, MARY MARGARET (MSW, LGSW)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:MARGARET
Last Name:DRIES
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16339 GLADYS LN
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-2860
Mailing Address - Country:US
Mailing Address - Phone:952-693-3547
Mailing Address - Fax:
Practice Address - Street 1:1200 MARQUETTE AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2419
Practice Address - Country:US
Practice Address - Phone:952-693-3547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN33921104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker