Jolene Marie Peterson, LICSW | |
23 9th Ave S, Hopkins, MN 55343-7629 | |
(952) 945-4242 | |
(952) 938-7934 |
Full Name | Jolene Marie Peterson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 23 9th Ave S, Hopkins, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750741328 | NPI | - | NPPES |
956400400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 17806 (Minnesota) | Primary |
Entity Name | Hennepin Healthcare System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
Mailing Address | Practice Location Address |
---|---|
Jolene Marie Peterson, LICSW 23 9th Ave S, Hopkins, MN 55343-7629 Ph: (952) 945-4242 | Jolene Marie Peterson, LICSW 23 9th Ave S, Hopkins, MN 55343-7629 Ph: (952) 945-4242 |
Elizabeth Turbak Brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11812 Wayzata Blvd Ste 200a, Hopkins, MN 55305 Phone: 651-274-1877 | |
Joan Gudorf, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 2nd St Ne Ste 218, Hopkins, MN 55343 Phone: 651-317-9659 | |
Ruth Johnson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 9th Ave S, Hopkins, MN 55343 Phone: 952-300-5382 Fax: 952-283-2355 | |
Teresa Anne Conlan, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 15 Interlachen Rd, Hopkins, MN 55343 Phone: 651-278-7764 | |
Natasha Marie Privratsky, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 9th Ave S, Hopkins, MN 55343 Phone: 952-938-9622 | |
Alison Jean Campbell, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 904 Mainstreet Ste 200, Hopkins, MN 55343 Phone: 866-522-2472 | |
Nataile Zamora Zeitz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 9th Ave S, Hopkins, MN 55343 Phone: 612-791-0055 Fax: 952-945-4238 |