Grace Bennett, LICSW | |
927 Trettel Ln, Cloquet, MN 55720-1345 | |
(218) 879-1227 | |
Not Available |
Full Name | Grace Bennett |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 13 Years |
Location | 927 Trettel Ln, Cloquet, Minnesota |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497117105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 15899 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fond Du Lac Reservation Business Committee | 6608775879 | 35 |
Entity Name | Fond Du Lac Reservation Business Committee |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326053166 PECOS PAC ID: 6608775879 Enrollment ID: O20040107000308 |
Mailing Address | Practice Location Address |
---|---|
Grace Bennett, LICSW 927 Trettel Ln, Cloquet, MN 55720-1345 Ph: (218) 879-1227 | Grace Bennett, LICSW 927 Trettel Ln, Cloquet, MN 55720-1345 Ph: (218) 879-1227 |
Kari Stroik, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227 | |
Victoria Diane Zupancich, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40 11th St, Cloquet, MN 55720 Phone: 218-879-4559 Fax: 218-879-0282 | |
Joni Christine Deetz, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 40 11th St, Cloquet, MN 55720 Phone: 218-879-4559 Fax: 218-879-0282 | |
Rochelle Marie Goodrich, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: Fond Du Lac Human Services Division, 927 Trettel Lane, Cloquet, MN 55720 Phone: 218-879-1227 Fax: 218-878-2188 | |
Samentha Kay Sakry, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1618 Cloquet Ave, Cloquet, MN 55720 Phone: 218-451-2116 Fax: 218-219-1511 | |
Joie Ann Miletich, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 118 Avenue C, Cloquet, MN 55720 Phone: 218-878-9352 Fax: 218-878-9342 | |
Thomas Udenberg, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1003 Cloquet Ave Ste 109, Cloquet, MN 55720 Phone: 218-606-1797 Fax: 651-925-0039 |