Julie Katherine Wicker, MSW | |
25 N 12th Ave E, Suite F, Duluth, MN 55805-2200 | |
(218) 724-3122 | |
(218) 724-4041 |
Full Name | Julie Katherine Wicker |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 25 N 12th Ave E, Duluth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548337173 | NPI | - | NPPES |
965514000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 06443 (Minnesota) | Primary |
Entity Name | Iron Range Behavioral Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851900484 PECOS PAC ID: 1456756352 Enrollment ID: O20210816001322 |
Mailing Address | Practice Location Address |
---|---|
Julie Katherine Wicker, MSW 101 W 2nd St, Ste 200, Duluth, MN 55802-5004 Ph: (218) 724-3122 | Julie Katherine Wicker, MSW 25 N 12th Ave E, Suite F, Duluth, MN 55805-2200 Ph: (218) 724-3122 |
Melissa Ann Winkler, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 W 9th St, Duluth, MN 55807 Phone: 218-625-2638 Fax: 651-323-2184 | |
Emily Lundgren, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 E Superior St Ste 415, Duluth, MN 55802 Phone: 218-249-0595 | |
Glenn Howard Tobey, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17 1/2 N Lake Ave Rm 201, Duluth, MN 55802 Phone: 218-740-4389 Fax: 218-740-4389 | |
Natalie Jo Ryan, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 810 E 4th St, Duluth, MN 55805 Phone: 218-624-5683 Fax: 218-624-5736 | |
Zayla Asquith-heinz, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4325 Grand Ave, Duluth, MN 55807 Phone: 218-722-1497 Fax: 218-722-6239 | |
Sara A Fijalkiewicz, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 120 W 2nd St, Duluth, MN 55802 Phone: 218-728-4491 Fax: 218-302-8698 | |
Wendy Michelle Olson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364 |