Julie Van Beusekom, LICSW | |
1772 Stieger Lake Ln Ste 220, Victoria, MN 55386-7720 | |
(952) 443-4600 | |
(952) 443-4604 |
Full Name | Julie Van Beusekom |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1772 Stieger Lake Ln Ste 220, Victoria, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104608868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 19876 (Minnesota) | Primary |
Entity Name | Lorenz Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982900510 PECOS PAC ID: 7810282845 Enrollment ID: O20160830000081 |
Mailing Address | Practice Location Address |
---|---|
Julie Van Beusekom, LICSW 1772 Stieger Lake Ln Ste 220, Victoria, MN 55386-7720 Ph: (952) 443-4600 | Julie Van Beusekom, LICSW 1772 Stieger Lake Ln Ste 220, Victoria, MN 55386-7720 Ph: (952) 443-4600 |
Ramon Ignacio Reina, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1750 Green Crest Dr, Victoria, MN 55386 Phone: 952-261-3216 | |
Mr. Gregory David Walsh, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 Arboretum Blvd, Suite # 211, Victoria, MN 55386 Phone: 952-443-3970 Fax: 952-368-3177 | |
Anne Marilyn Fleming, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1772 Stieger Lake Ln, Victoria, MN 55386 Phone: 952-443-4600 Fax: 952-443-4604 | |
Mrs. Deborah Kay Perry, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1600 Arboretum Blvd Ste 103, Victoria, MN 55386 Phone: 952-855-8801 Fax: 847-474-4426 |