Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tera Marie Detels, LGSW

Individual provider Social Worker · NPI 1811807126

Tera Marie Detels, LGSW is a Social Worker in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

539 Phalen Blvd
Saint Paul, MN 55130-5303
Phone: (651) 300-9659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 36092 (MN)

Record details

NPI number1811807126
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGSW
Sole proprietorNo
NPI enumeratedSeptember 9, 2026
Last updated in NPPESSeptember 9, 2026
Certification dateSeptember 9, 2026

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