Elizabeth Crubaugh, MSW, LICSW | |
2103 County Road D E Ste B, Maplewood, MN 55109-5358 | |
(612) 232-9491 | |
Not Available |
Full Name | Elizabeth Crubaugh |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2103 County Road D E Ste B, Maplewood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700548336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 26519 (Minnesota) | Primary |
Entity Name | Metanoia Therapy, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063050615 PECOS PAC ID: 7214395102 Enrollment ID: O20230626001132 |
Mailing Address | Practice Location Address |
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Elizabeth Crubaugh, MSW, LICSW 2103 County Road D E Ste B, Maplewood, MN 55109-5358 Ph: () - | Elizabeth Crubaugh, MSW, LICSW 2103 County Road D E Ste B, Maplewood, MN 55109-5358 Ph: (612) 232-9491 |
Lindsey Peterson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1654 Burke Ave E, Maplewood, MN 55109 Phone: 612-567-6306 | |
Alicia Ann Vandenberg, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2345 Ariel St N, Maplewood, MN 55109 Phone: 651-254-4793 Fax: 651-254-0877 | |
Karyn Cave, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2345 Ariel Street North, Mail Stop 13601a, Maplewood, MN 55109 Phone: 651-254-4793 | |
Emily Glover, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2785 White Bear Ave N Ste 403, Maplewood, MN 55109 Phone: 651-365-8289 | |
Sarah Lilja, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2127 County Road D E Ste A100, Maplewood, MN 55109 Phone: 651-592-1592 Fax: 651-429-2988 | |
Claire L Kuennen Jordan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7000 | |
Donna M Jalonen, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2345 Ariel St N, Mail Stop 13601a, Maplewood, MN 55109 Phone: 651-254-4793 Fax: 651-254-0877 |