Jessica Grundmann, LICSW is a
Social Worker - Clinical based in Lester Prairie, Minnesota. Jessica Grundmann is licensed to practice in Minnesota (license number 26165) and her current practice location is
19482 County Road 9, Lester Prairie, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(952) 769-3655.
NPI number for Jessica Grundmann is 1407677677 and her current mailing address is 19482 County Road 9, Lester Prairie, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407677677.
Healthcare Provider's Profile
Full Name | Jessica Grundmann |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 19482 County Road 9, Lester Prairie, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407677677
- Provider Enumeration Date: 10/21/2024
- Last Update Date: 10/21/2024
Medical Identifiers
Medical identifiers for Jessica Grundmann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407677677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 26165 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Grundmann is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Grundmann, LICSW 19482 County Road 9, Lester Prairie, MN 55354-6302 Ph: (952) 769-3655 | Jessica Grundmann, LICSW 19482 County Road 9, Lester Prairie, MN 55354-6302 Ph: (952) 769-3655 |
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