Julie Ann Hanenburg, LICSW | |
150 10th St Nw Ste 2, Milaca, MN 56353-1737 | |
(320) 983-2335 | |
(651) 342-8029 |
Full Name | Julie Ann Hanenburg |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 150 10th St Nw Ste 2, Milaca, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710108790 | NPI | - | NPPES |
632410000 | Other | MN | MHCP PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 15603 (Minnesota) | Primary |
Entity Name | Lighthouse Child & Family Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689861197 PECOS PAC ID: 1850571795 Enrollment ID: O20110209000428 |
Mailing Address | Practice Location Address |
---|---|
Julie Ann Hanenburg, LICSW 150 10th St Nw Ste 2, Milaca, MN 56353-1737 Ph: (320) 983-2335 | Julie Ann Hanenburg, LICSW 150 10th St Nw Ste 2, Milaca, MN 56353-1737 Ph: (320) 983-2335 |
Deborah Hannah Gault, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 150 10th St Nw Ste 2, Milaca, MN 56353 Phone: 320-983-2335 | |
Brittany Ann Bemboom, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 150 10th St Nw Ste 2, Milaca, MN 56353 Phone: 320-983-2335 | |
Melissa Oltman, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 10th St Nw Ste 2, Milaca, MN 56353 Phone: 320-983-8022 | |
Tina Martell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 225 2nd St Sw, Milaca, MN 56353 Phone: 320-982-1037 | |
Jennifer Jean Goerger, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 150 10th St Nw Ste 2, Milaca, MN 56353 Phone: 320-983-2335 | |
Raeann Hagen, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 150 10th St Nw Ste 2, Milaca, MN 56353 Phone: 320-272-5051 |