John O'brien, LICSW | |
200 W 98th St, Ste 107, Bloomington, MN 55420-4858 | |
(612) 968-6097 | |
Not Available |
Full Name | John O'brien |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 27 Years |
Location | 200 W 98th St, Bloomington, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457579427 | NPI | - | NPPES |
689136500 | Medicaid | MN | |
205436246 | Other | MN | EID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 14313 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Abintra Inc. | 0345589859 | 4 |
Entity Name | Abintra Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518412907 PECOS PAC ID: 0345589859 Enrollment ID: O20190228000243 |
Mailing Address | Practice Location Address |
---|---|
John O'brien, LICSW 200 W 98th St, Ste 107, Bloomington, MN 55420-4858 Ph: (612) 968-6097 | John O'brien, LICSW 200 W 98th St, Ste 107, Bloomington, MN 55420-4858 Ph: (612) 968-6097 |
Kaitlyn Crowell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9910 Drew Ave S Apt 107, Bloomington, MN 55431 Phone: 320-249-7214 | |
Clare Eileen Schuetz, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1801 American Blvd E Ste 8, Bloomington, MN 55425 Phone: 612-400-6173 Fax: 612-728-5301 | |
Cassandra Lynn Moorhead Ayub, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E, Suite 1, Bloomington, MN 55425 Phone: 952-737-6202 Fax: 612-728-5301 | |
Sean Alexander Pagoada, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9911 Brookside Ave, Bloomington, MN 55431 Phone: 305-562-9874 | |
Maria Angelica Keller, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 American Blvd E Ste 134, Bloomington, MN 55420 Phone: 651-338-0913 | |
Sarah Thukral, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1801 American Blvd E, Bloomington, MN 55425 Phone: 952-767-2267 | |
Megan Ferge, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8600 Nicollet Ave S, Bloomington, MN 55420 Phone: 952-541-2800 Fax: 952-886-7015 |