Gudrun Teigen, MSW, LICSW, LADC | |
1650 Madison Ave Ste 102, Mankato, MN 56001-5471 | |
(507) 345-7012 | |
(507) 388-6937 |
Full Name | Gudrun Teigen |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 11 Years |
Location | 1650 Madison Ave Ste 102, Mankato, 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 |
---|---|---|---|
1548700859 | NPI | - | NPPES |
1548700859 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 23674 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Open Door Health Center | 7012944085 | 7 |
Entity Name | Ccm Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20031201000642 |
Entity Name | Open Door Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891740908 PECOS PAC ID: 7012944085 Enrollment ID: O20150930001410 |
Entity Name | Five Rivers Mental Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689111601 PECOS PAC ID: 5698042729 Enrollment ID: O20170522001033 |
Mailing Address | Practice Location Address |
---|---|
Gudrun Teigen, MSW, LICSW, LADC 1650 Madison Ave Ste 102, Mankato, MN 56001-5471 Ph: (507) 345-7012 | Gudrun Teigen, MSW, LICSW, LADC 1650 Madison Ave Ste 102, Mankato, MN 56001-5471 Ph: (507) 345-7012 |
K. Robin Newcombe Nelson, LADC, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-3372 | |
Lacy Osborne, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Warren St # 345, Mankato, MN 56001 Phone: 507-227-4858 Fax: 507-519-2271 | |
Michele J. Larson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 Serra St, Mankato, MN 56001 Phone: 608-577-5742 | |
Tammy M Gagnon, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Civic Center Plz Ste 1615, Mankato, MN 56001 Phone: 507-345-4679 Fax: 507-345-8685 | |
Anna Marie Johanson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1400 Madison Ave Ste 352, Mankato, MN 56001 Phone: 507-387-3195 | |
Nicole Kristina Lidstrom, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-594-2468 | |
Carrie Ann Leggett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-400-4706 |