Christina Marie Kelly-jackels, MSW, LICSW | |
8455 Flying Cloud Dr, Eden Prairie, MN 55344-3974 | |
(952) 993-7400 | |
Not Available |
Full Name | Christina Marie Kelly-jackels |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 18 Years |
Location | 8455 Flying Cloud Dr, Eden Prairie, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598096885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 18535 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
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 |
Entity Name | Behavioral Healthcare Providers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912066218 PECOS PAC ID: 8426374232 Enrollment ID: O20150312002305 |
Mailing Address | Practice Location Address |
---|---|
Christina Marie Kelly-jackels, MSW, LICSW 8455 Flying Cloud Dr, Eden Prairie, MN 55344-3974 Ph: (952) 993-7400 | Christina Marie Kelly-jackels, MSW, LICSW 8455 Flying Cloud Dr, Eden Prairie, MN 55344-3974 Ph: (952) 993-7400 |
Susan Kay Cromwell, MSW LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 9531 W 78th St Ste 145, Eden Prairie, MN 55344 Phone: 651-268-0751 Fax: 952-943-9750 | |
Safiya Ali Sheikh-mohamed, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7550 Market Place Dr Ste 3, Eden Prairie, MN 55344 Phone: 651-299-0044 | |
Reashondra Walker, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7700 Equitable Dr, Eden Prairie, MN 55344 Phone: 932-395-6959 | |
Elizabeth Samuel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6442 City West Pkwy Ste 200, Eden Prairie, MN 55344 Phone: 763-318-2788 | |
Susan M Saunders, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8455 Flying Cloud Dr, Park Nicollet Clinic - Prairie Center Ste 200, Eden Prairie, MN 55344 Phone: 952-993-7400 Fax: 952-993-7430 | |
Mr. Joshua Tucker, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 Phone: 952-746-2522 | |
Lily M Pieper, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6458 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-767-5900 |