Amy King, LPCC | |
1212 E College Dr, Marshall, MN 56258-2010 | |
(507) 532-3236 | |
Not Available |
Full Name | Amy King |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1212 E College Dr, Marshall, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376172189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (Minnesota) | Primary |
Entity Name | Western Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982613311 PECOS PAC ID: 7315856119 Enrollment ID: O20040226000053 |
Mailing Address | Practice Location Address |
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Amy King, LPCC 1212 E College Dr, Marshall, MN 56258-2010 Ph: () - | Amy King, LPCC 1212 E College Dr, Marshall, MN 56258-2010 Ph: (507) 532-3236 |
Ms. Karen Marie Jirovec, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 Fax: 507-532-3350 | |
Michael A Larson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 Fax: 507-532-0240 | |
Mr. Brian David Boersma, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 Fax: 507-532-0240 | |
Kaycee Polite, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 | |
Lorraine Kendall, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 Fax: 507-532-0240 | |
Kari Schwecke, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 Fax: 507-532-0240 |