Abigale Jayne Harris, LICSW | |
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
(952) 993-2498 | |
(952) 993-2505 |
Full Name | Abigale Jayne Harris |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750938411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 26972 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Abigale Jayne Harris, LICSW 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-2498 | Abigale Jayne Harris, LICSW 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-2498 |
Bethany Lemere Rice, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 5891 Cedar Lake Rd S, St Louis Park, MN 55416 Phone: 206-819-0957 | |
Ms. Susan Reynolds, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4601 Excelsior Blvd Ste 400, St Louis Park, MN 55416 Phone: 952-925-3533 | |
Rachel Kathleen Syring, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1665 Utica Ave S Ste 100, St Louis Park, MN 55416 Phone: 952-541-2682 | |
Kari Marie Palthe Anderson, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-6086 | |
Mr. George V Baboila, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, Ste 160, St Louis Park, MN 55426 Phone: 952-993-7707 | |
Shelly Grant, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 Florida Ave S Ste 307, St Louis Park, MN 55426 Phone: 952-544-6808 Fax: 952-545-0098 | |
Jessica B Arndt, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 Fax: 952-993-3286 |