Casey J Petek, LICSW | |
507 22nd Ave E Ste 1, Alexandria, MN 56308-5186 | |
(320) 762-5124 | |
(320) 762-2422 |
Full Name | Casey J Petek |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 507 22nd Ave E Ste 1, Alexandria, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962083964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 25034 (Minnesota) | Primary |
Entity Name | Lutheran Social Service Of Minnesota |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629192430 PECOS PAC ID: 1951202019 Enrollment ID: O20040205000477 |
Mailing Address | Practice Location Address |
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Casey J Petek, LICSW 507 22nd Ave E Ste 1, Alexandria, MN 56308-5186 Ph: (320) 762-5124 | Casey J Petek, LICSW 507 22nd Ave E Ste 1, Alexandria, MN 56308-5186 Ph: (320) 762-5124 |
Sharon Odland, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 507 22nd Ave E Ste 1, Alexandria, MN 56308 Phone: 320-762-5124 | |
Kacie Norlien, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 324 Broadway St Ste 206, Alexandria, MN 56308 Phone: 320-762-1762 | |
Karen Vanhorn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 22nd Ave E, Alexandria, MN 56308 Phone: 320-759-2640 | |
Mr. David Hedden Peterson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 9th Ave W, Alexandria, MN 56308 Phone: 320-763-3912 Fax: 320-763-6629 | |
Mrs. Tamara B Christenson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 324 Broadway St Ste 206, Alexandria, MN 56308 Phone: 320-762-1762 Fax: 320-762-0796 | |
Jalen Jeneveve Arnold, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5986 Oakwood Ter Nw, Alexandria, MN 56308 Phone: 507-473-3011 | |
David Stern, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4133 Iowa St, Alexandria, MN 56308 Phone: 320-762-8851 Fax: 651-925-0057 |